Willamette Orthopedic Group, LLC

NPI #1942926258 in Dallas, Oregon

Provider Information

NPI Number: 1942926258
Entity Type: Organization
Organization Name: Willamette Orthopedic Group, LLC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Oct 18, 2022
Last Updated: Oct 18, 2022

Practice Location

Address: 641 SE MILLER AVE
City: Dallas
State: Oregon
ZIP Code: 97338-2634
Phone: (503) 540-6300

Authorized Official

Name: JULIA SHIELDS
Title: CREDENTIALING SPECALIST
Phone: (503) 540-6470

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery — Adult Reconstructive Orthopaedic Surgery	207XS0114X
Orthopaedic Surgery	207X00000X	Primary

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Organizations

Provider Name	Specialty	City
Willamette Orthopedic Group, LLC	Orthopaedic Surgery	Dallas	AI Deep Dive
Willamette Orthopedic Group LLC	Orthopaedic Surgery	Dallas	AI Deep Dive

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