Wvp Medical Group, LLC

NPI #1710231550 in Salem, Oregon

Provider Information

NPI Number: 1710231550
Entity Type: Organization
Organization Name: Wvp Medical Group, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: WVP MEDICAL GROUP, LLC
Primary Specialty: Family Medicine
Enumeration Date: Nov 1, 2012
Last Updated: Oct 2, 2014

Practice Location

Address: 2365 GREAR ST NE
City: Salem
State: Oregon
ZIP Code: 97301-2747
Phone: (503) 391-6615

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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