Wvp Medical Group, LLC

NPI #1982148789 in Salem, Oregon

Provider Information

NPI Number: 1982148789
Entity Type: Organization
Organization Name: Wvp Medical Group, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: MID VALLEY IPA, INC
Primary Specialty: Family Medicine
Enumeration Date: Dec 13, 2016
Last Updated: Apr 17, 2018

Practice Location

Address: 5050 SKYLINE VILLAGE LOOP S
City: Salem
State: Oregon
ZIP Code: 97306-9490
Phone: (503) 391-1110

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Surgery	208600000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X	Primary

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