WILLAMETTE UROLOGY PC NPI 1467512996

NPI Information

  • NPI: 1467512996
  • Provider Name: WILLAMETTE UROLOGY, PC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Address: 2973 12TH STREET SE
    SALEM, OR
    ZIP 97302
  • Phone: (503) 561-7100

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NPI Details

WILLAMETTE UROLOGY, PC is an urology in Salem, OR. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. WILLAMETTE UROLOGY, PC NPI is 1467512996. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2973 12TH STREET SE
SALEM, OR
ZIP 97302-162
Phone: (503) 561-7100
Fax: (503) 561-7124

The provider's authorized official is John Mark Mhoon .
The authorized official title is President and has the following contact phone number (503) 561-7100.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 2/28/2013.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyOREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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