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Contact Information

WILLAMETTE ORTHOPEDIC GROUP, LLC
591 SE CLAY ST
DALLAS, OR97338-2812
 Phone: 503-540-6300
 Fax: 503-540-6404
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
Indicates primary specialty

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

NPI Number 1134874001
Status Active
Credentials
Entity Individual
Enumeration date 02/18/2022
Last updated 02/25/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • 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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