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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

NPI # 1134145360
LBN Legal business name WILLAMETTE ORTHOPEDIC GROUP LLC
Authorized official LORISSA ADDABBO - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/14/2006
Last updated 02/05/2021 - About 5 years ago
Identifiers
OR License # OTC090820
OR Medicaid 278220
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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