Willamette Urology PC

NPI #1215221205 in Dallas, Oregon

Provider Information

NPI Number: 1215221205
Entity Type: Organization
Organization Name: Willamette Urology PC
Primary Specialty: Specialist
Enumeration Date: Jun 7, 2011
Last Updated: Jun 7, 2011

Practice Location

Address: 591 SE CLAY ST
City: Dallas
State: Oregon
ZIP Code: 97338-2812
Phone: (503) 561-7100

Authorized Official

Name: MR. BRYCE CARMAN
Title: ADMINISTRATOR
Phone: (503) 561-7112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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