WVP MEDICAL GROUP LLC NPI 1518225242

NPI Information

NPI: 1518225242
Provider Name: WVP MEDICAL GROUP, LLC

Doing Business As: WVP MISSION STREET CLINIC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1155 MISSION ST SE
SUITE 205
SALEM, OR
ZIP 97302
Phone: (503) 362-6304
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WVP MEDICAL GROUP, LLC is a primary care clinic center in Salem, OR. WVP MEDICAL GROUP, LLC NPI is 1518225242. The provider is registered as an organization entity type.
The provider Is Doing Business As Wvp Mission Street Clinic.

The provider's business location address is:

1155 MISSION ST SE
SUITE 205
SALEM, OR
ZIP 97302-228
Phone: (503) 362-6304
Fax: (503) 362-5570

The provider's authorized official is Dean G Andretta .
The authorized official title is Cfo and has the following contact phone number (503) 371-7701.

The enumeration date for this NPI number is 5/1/2012 and was last updated on 3/18/2014.

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
1	261QP2300X	Clinic/Center	Primary Care		OREGON	Yes

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: 4/28/2024

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