Provider Type Icon

WVP MEDICAL GROUP LLC NPI 1982148789


NPI Information

NPI: 1982148789
Provider Name: WVP MEDICAL GROUP, LLC

Doing Business As: WVP THE DOCTORS CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
5050 SKYLINE VILLAGE LOOP S
SALEM, OR
ZIP 97306
Phone: (503) 391-1110
Get Directions

WVP MEDICAL GROUP, LLC is a family medicine in Salem, OR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WVP MEDICAL GROUP, LLC NPI is 1982148789. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wvp The Doctors Clinic.

The provider's business location address is:

5050 SKYLINE VILLAGE LOOP S
SALEM, OR
ZIP 97306-490
Phone: (503) 391-1110
Fax: (503) 370-4237

The provider's authorized official is Dean 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 12/13/2016 and was last updated on 4/17/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes
2207R00000XInternal MedicineNo
3208600000XSurgeryNo
4363A00000XPhysician AssistantNo
5363L00000XNurse PractitionerNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1288533MEDICAIDOREGON

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.