National Provider Identifier Database

WILLAMETTE VASCULAR SPECIALISTS PC
Vascular Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.


Contact Information

WILLAMETTE VASCULAR SPECIALISTS, PC
1015 25TH ST SE
SALEM, OR97301
Phone: 503-561-7227
Fax: 503-561-7272
Website:
Specialty Taxonomy Code
* Vascular Surgery 2086S0129X

* Indicates primary specialty

NPI Profile & details for WILLAMETTE VASCULAR SPECIALISTS, PC

NPI Number 1225351901
Legal business name
LBN
WILLAMETTE VASCULAR SPECIALISTS, PC
Authorized official MARK PETERSON - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 03/09/2010
Last updated 03/08/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • OR License #: MD16135

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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