Wvp Medical Group, LLC

NPI #1538535059 in Independence, Oregon

Provider Information

NPI Number: 1538535059
Entity Type: Organization
Organization Name: Wvp Medical Group, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: MID VALLEY IPA, INC
Primary Specialty: Clinic/Center
Enumeration Date: Aug 19, 2015
Last Updated: Apr 17, 2018

Practice Location

Address: 1430 MONMOUTH ST
City: Independence
State: Oregon
ZIP Code: 97351-1127
Phone: (503) 838-1133

Authorized Official

Name: MR. DEAN ANDRETTA
Title: CFO
Phone: (503) 371-7701

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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