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Contact Information

WILLAMETTE ORTHOPEDIC GROUP LLC
1600 STATE ST
SALEM, OR97301-4257
 Phone: 503-540-6300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
 

Hand

225XH1200X 67 Occupational Therapist in Private Practice
 

Hand Surgery

207XS0106X 02 Physician/General Surgery
 

Orthopaedic Trauma

207XX0801X 02 Physician/General Surgery
 

Orthotics/Prosthetics Fitter

225000000X
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for WILLAMETTE ORTHOPEDIC GROUP LLC · (Female)

NPI Number 1134145360
Status Active
Credentials
Entity Individual
Enumeration date 07/14/2006
Last updated 02/05/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • OR License # OTC090820
  • OR Medicaid 278220
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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