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Contact Information

WILLAMETTE ORTHOPEDIC GROUP, LLC
641 SE MILLER AVE
DALLAS, OR97338-2634
 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

NPI # 1942926258
LBN Legal business name WILLAMETTE ORTHOPEDIC GROUP, LLC
Authorized official JULIA SHIELDS - (CREDENTIALING SPECALIST)
Entity Organization
Organization subpart 1 No
Enumeration date 10/18/2022
Last updated 10/18/2022 - About 4 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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