WILLOW WOMEN AND CHILDREN'S WELLNESS, LLC (NPI# 1588136840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588136840 |
| Entity Type | Organization |
| Organization Name | WILLOW WOMEN AND CHILDREN'S WELLNESS, LLC |
| Practice Address |
21358 Highway 99e Ne Aurora OR 97002-9201 |
| Practice Telephone | 5036786269 |
| Practice Fax Number | 5032171599 |
| Mailing Telephone | 5036786269 |
| Mailing Fax Number | 5032171599 |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2018-12-27 |
| Authorized Official Name | SUSAN CORCORAN (OWNER) |
| Authorized Official Telephone | 5036786269 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | CORPORATION DIVISION FILLING IN OREGON | 150392091 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | WILLOW WOMEN AND CHILDREN'S WELLNESS, LLC | 21358 Hwy 99e, Aurora, OR 97002 |
| Street Address |
21358 HIGHWAY 99E NE |
| City | AURORA |
| State | OR |
| Zip Code | 97002-9201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902863467 | Susan A Corcoran | Advanced Practice Midwife | 21358 Highway 99e Ne, Aurora, OR 97002-9201 | 2006-04-27 |
| 1154852226 | Jessica West Vining | Midwife | 21358 Highway 99e Ne, Aurora, OR 97002-9201 | 2017-03-21 |
| 1710436399 | Joanne Byrd | Midwife | 21358 Highway 99e Ne, Aurora, OR 97002-9201 | 2016-09-23 |
| 1376977728 | Aurora Birth Center | Clinic/Center | 21358 Highway 99e Ne, Aurora, OR 97002-9201 | 2013-08-21 |
| 1114203718 | Adam Clyde Burrill | Acupuncturist | 21358 Highway 99e Ne, Aurora, OR 97002 | 2011-10-26 |
| 1861717639 | Monica Rudestam | Acupuncturist | 21358 Highway 99e Ne, Aurora, OR 97002-9201 | 2010-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689141558 | Skyler Anderson | Nurse Practitioner | 21358 Or 99 E, Aurora, OR 97002 | 2018-10-30 |
| 1487919783 | Aurora Family Health and Maternity Care Services LLC | Clinic/Center | 21358 Hwy 99e Ne, Aurora, OR 97002 | 2012-07-12 |
| 1295002129 | Marilee J Sullivan | Dental Hygienist | 21186 Sayre Drive, Aurora, OR 97002 | 2011-11-21 |
| 1386837367 | Life Flight Network LLC | Ambulance | 22285 Yellow Gate Lane, Suite 102, Aurora, OR 97002 | 2007-08-22 |
| 1033288030 | Robin Schaefer | Chiropractor | 21398 Highway 99e, Aurora, OR 97002 | 2006-11-06 |
| 1306253935 | Sequoia Mental Health Inc. | Community Based Residential Treatment Facility, Mental Illness | 511 Sw 10th Avenue, Portland, OR 97002 | 2014-07-15 |
| 1881750032 | Kay Lynette Stradinger | Psychologist | 27332 S Meridian Rd, Aurora, OR 97002-8314 | 2006-12-29 |
| 1437301884 | Regina Sunshine Flanagan | Naturopath | 28066 S Meridian Rd, Aurora, OR 97002-8321 | 2008-10-16 |
| 1184039190 | Sarah M. Geisler | Registered Nurse | 13448 Ne Denbrook Rd, Aurora, OR 97002-8553 | 2014-06-27 |
| 1235418625 | Monica Rudestam | Preferred Provider Organization | 14936 3rd St Ne, Aurora, OR 97002-9221 | 2011-08-16 |
| Find all providers in zip 97002 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205468493 | Tri-county Health Department | Clinic/Center | 9000 E Colfax Ave, Aurora, CO 80010-5030 | 2020-02-06 |
| 1336771534 | Tri-county Health Department | Clinic/Center | 15192 E Hampden Ave, Aurora, CO 80014-3906 | 2020-02-06 |
| 1295186013 | High Dentistry | Clinic/Center | 1450 S Havana St Ste 720, Aurora, CO 80012-4034 | 2016-06-22 |
| 1700418902 | Tri-county Health Department | Clinic/Center | 15400 E 14th Pl, Aurora, CO 80011-5818 | 2020-02-06 |
| 1811350374 | Well Focused, LLC | Clinic/Center | 3412 S Jebel Ct, Aurora, CO 80013-9020 | 2016-04-01 |
| 1871908327 | Phlebotomy Mobile Services, LLC | Clinic/Center | 2323 S Troy St, Bldg 5 Ste 101, Aurora, CO 80014-1946 | 2014-06-24 |
| 1467893784 | Us Medgroup of Illinois PC | Clinic/Center | 4000 Ogden Ave, Aurora, IL 60504-7105 | 2013-07-15 |
| 1861759763 | Occupational Health Centers of The Southwest Pa PC | Clinic/Center | 15490 E Smoky Hill Rd, Aurora, CO 80015-1494 | 2012-04-16 |
| 1275864449 | Grace Health Clinic | Clinic/Center | 10 S Havana St, Ste 103, Aurora, CO 80012-6431 | 2010-01-27 |
| 1790934867 | Concentra Health Services, Inc. | Clinic/Center | 4000 Ogden Avenue, Aurora, IL 60504 | 2008-09-15 |
| Find all providers in AURORA | ||||
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| 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.