WILLAMETTE ORTHOPEDIC GROUP LLC (NPI# 1013437862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013437862 |
| Entity Type | Organization |
| Organization Name | WILLAMETTE ORTHOPEDIC GROUP LLC |
| Other Organization Name | HOPE ORTHOPEDICS OF OREGON |
| Practice Address |
254 Ne Norton Ln Mcminnville OR 97128-8470 |
| Mailing Address |
1600 State St Salem OR 97301-4257 |
| Practice Telephone | 5035406300 |
| Practice Fax Number | 5035406404 |
| Mailing Telephone | 5035406300 |
| Mailing Fax Number | 5035406404 |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2017-06-22 |
| Authorized Official Name | MRS. LORISSA ADDABBO (CEO) |
| Authorized Official Telephone | 5035406470 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 278220 | 05 |
| Other Name | Type Code |
|---|---|
| Hope Orthopedics of Oregon | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336406354 | Willamette Orthopedic Group LLC | Orthopaedic Surgery | 607 Se Jefferson St, Dallas, OR 97338 | 2012-04-16 |
| 1588955314 | Willamette Orthopedic Group LLC | Orthopaedic Surgery | 1600 State St, Salem, OR 97301-4257 | 2011-04-27 |
| 1720315302 | Willamette Orthopedic Group LLC | Orthopaedic Surgery | 1128 Ne 2nd St, Corvallis, OR 97330-6230 | 2009-11-03 |
| 1811224496 | Willamette Orthopedic Group LLC | Orthopaedic Surgery | 5825 Shoreview Ln N, Keizer, OR 97303-3978 | 2009-11-03 |
| 1134145360 | Willamette Orthopedic Group LLC | Orthopaedic Surgery | 1600 State St, Salem, OR 97301-4257 | 2006-07-14 |
| Street Address |
254 NE NORTON LN |
| City | MCMINNVILLE |
| State | OR |
| Zip Code | 97128-8470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417951849 | Richard K Kimani | Internal Medicine | 254 Ne Norton Ln, Mcminnville, OR 97128-8470 | 2005-06-13 |
| 1508499955 | Victoria Schreiner | Nurse Practitioner | 254 Ne Norton Ln, Mcminnville, OR 97128-8470 | 2020-02-13 |
| 1801383138 | Ellen Plaia | Dietitian, Registered | 254 Ne Norton Ln, Mcminnville, OR 97128-8470 | 2018-04-23 |
| 1992292924 | Batoul Saad | Pharmacist | 254 Ne Norton Ln, Mcminnville, OR 97128-8470 | 2018-04-16 |
| 1588066419 | Sang-gyou Rho | Surgery | 254 Ne Norton Ln, Mcminnville, OR 97128-8470 | 2014-09-23 |
| 1366857724 | Chandni Merchant | Internal Medicine | 254 Ne Norton Ln, Mcminnville, OR 97128-8470 | 2014-06-24 |
| 1780948208 | Erin M Thompson | Surgery | 254 Ne Norton Ln, Mcminnville, OR 97128-8470 | 2012-06-28 |
| 1871763540 | Guillermo Higa Sansone | Surgery | 254 Ne Norton Ln, Mcminnville, OR 97128-8470 | 2008-03-10 |
| 1508922154 | Kathleen K Mcdaniel | Nurse Practitioner | 254 Ne Norton Ln, Mcminnville, OR 97128-8470 | 2006-12-28 |
| 1902855943 | Cara Marie Caddell | Pediatrics | 254 Ne Norton Ln, Mcminnville, OR 97128-8470 | 2006-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565035 | Bkd Hillside Opco, LLC | Skilled Nursing Facility | 440 Nw Hillside Park Way, Mcminnville, OR 97128 | 2020-10-16 |
| 1811502636 | Sean Peter Christian Cavaghan | Counselor | 1900 Ne Hwy 99, Suite K, Mcminnville, OR 97128 | 2020-09-09 |
| 1386269637 | Tending The Vineyard | Clinic/Center | 127 Nw Highway 99w, Mcminnville, OR 97128 | 2020-06-12 |
| 1619441094 | Kami Naber | Counselor | 672 Ne Evans St, Mcminnville, OR 97128 | 2019-01-18 |
| 1720552102 | Lauren Nicole Abshire | Counselor | 672 Ne Evans Street, Mcminnville, OR 97128 | 2019-01-18 |
| 1366933376 | Maria G Guerrero | Specialist | 325 Nw Fenton St, Mcminnville, OR 97128 | 2018-05-24 |
| 1235628819 | Julie Luedtke | Health Educator | 300 Sw Hill Road South, Mcminnville, OR 97128 | 2018-05-09 |
| 1356838817 | Jacqueline Ann Hausman | Massage Therapist | 119 Ne 3rd St., Mcminnville, OR 97128 | 2018-04-19 |
| 1366960007 | Alexis R Burke | Counselor | 625 Ne Galloway, Mcminnville, OR 97128 | 2017-09-01 |
| 1871018705 | Amanda Rose Bunch | Counselor | 418 Se Holly Way, Mcminnville, OR 97128 | 2017-08-11 |
| Find all providers in zip 97128 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558479808 | Michael Ls Liu | Neurological Surgery | 2700 Se Stratus Ave Unit 401, Mcminnville, OR 97128-6258 | 2006-08-28 |
| 1235271586 | Willamette Neurosurgery, PC | Neurological Surgery | 2700 Se Stratus Ave Unit 401, Mcminnville, OR 97128-6258 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063909737 | Norwyn Robert Newby | Neurological Surgery | 3054 Nw Duffy Dr, Bend, OR 97703-5485 | 2018-04-18 |
| 1447764485 | Columbia Neurosurgical Trauma, LLC | Neurological Surgery | 1040 Nw 22nd Ave Ste 630, Portland, OR 97210-3041 | 2017-11-29 |
| 1194178590 | Philippe Magown | Neurological Surgery | 3303 Sw Bond Ave # Ch8n, Department of Neurological Surgery, Ohsu, Portland, OR 97239-4501 | 2016-07-20 |
| 1922475813 | Willliam Leonard Debolt | Neurological Surgery | 7419 Nw Cornell Rd, Portland, OR 97229-6901 | 2015-08-26 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
| 1366860009 | Kathryn Wagner | Neurological Surgery | 3101 Sw 13th Ave Apt 19, Portland, OR 97239-3071 | 2014-03-31 |
| 1033451265 | Greater Portland Neurosurgical Center, PC | Neurological Surgery | 24900 Se Stark St Ste 209, Gresham, OR 97030-3382 | 2013-03-26 |
| 1699038323 | James Steve Heiden | Neurological Surgery | 2496 Nw 141st Pl, Portland, OR 97229-7078 | 2012-06-18 |
| 1467725713 | Gerard Joseph Voelkers Jr. | Neurological Surgery | 130 S Drift Creek Camp Rd, Lincoln City, OR 97367-9768 | 2012-02-17 |
| 1942578026 | Nw Neurosurgery LLC | Neurological Surgery | 311 Nw 12th Ave Unit 1003, Portland, OR 97209-2995 | 2011-12-05 |
| Find all providers with the same taxonomy | ||||
| City | MCMINNVILLE |
| Zip Code | 97128 |
Please comment or provide details below to improve the information on WILLAMETTE ORTHOPEDIC GROUP LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.