Wvp Medical Group, LLC

NPI #1750684767 in Keizer, Oregon

Provider Information

NPI Number: 1750684767
Entity Type: Organization
Organization Name: Wvp Medical Group, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: MID VALLEY IPA (WVP HEALTH AUTHORITY)
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Dec 13, 2010
Last Updated: Apr 17, 2018

Practice Location

Address: 5100 RIVER RD N
City: Keizer
State: Oregon
ZIP Code: 97303-5371
Phone: (503) 393-2533

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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