WILLAMETTE VASCULAR SPECIALISTS PC NPI 1225351901

NPI Information

WILLAMETTE VASCULAR SPECIALISTS, PC is a vascular surgery surgery in Salem, OR. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. WILLAMETTE VASCULAR SPECIALISTS, PC NPI is 1225351901. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1015 25TH ST SE
SALEM, OR
ZIP 97301
Phone: (503) 561-7227
Fax: (503) 561-7272

The provider's authorized official is Mark S Peterson .
The authorized official title is Owner and has the following contact phone number (503) 561-7227.

The enumeration date for this NPI number is 3/9/2010 and was last updated on 3/8/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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