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Contact Information

WILLAMETTE VALLEY IOM, LLC
818 SW 3RD AVE # 113
PORTLAND, OR97204-2405
 Phone: 971-256-3556
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
 

Electrodiagnostic Medicine

204R00000X
 

Electroneurodiagnostic

246ZE0600X
 

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for WILLAMETTE VALLEY IOM, LLC

NPI # 1518322585
LBN Legal business name WILLAMETTE VALLEY IOM, LLC
Authorized official FRANCISCO SOLDEVILLA - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/17/2015
Last updated 11/15/2016 - About 10 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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