WVP MEDICAL GROUP, LLC


Address: 2995 Ryan Dr Se Ste 200, Salem, OR 97301-5157
Phone: 5033717701

WVP MEDICAL GROUP, LLC (NPI# 1922583616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922583616
Entity Type Organization
Organization Name WVP MEDICAL GROUP, LLC
Practice Address 2995 Ryan Dr Se Ste 200
Salem
OR 97301-5157
Practice Telephone 5033717701
Practice Fax Number 5035817422
Mailing Telephone 5033717701
Enumeration Date 2018-09-27
Last Update Date 2018-09-27
Authorized Official Name DEAN ANDRETTA (CFO)
Authorized Official Telephone 5033717701
Is Organization Subpart Y
Parent Organization Name WVP MEDICAL GROUP, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Clinical Support Providers Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1831504968 Wvp Medical Group, LLC Clinic/Center 2485 12th St. Se, Salem, OR 97302-0000 2014-06-27
1982148789 Wvp Medical Group, LLC Internal Medicine 5050 Skyline Village Loop S, Salem, OR 97306-9490 2016-12-13
1538535059 Wvp Medical Group, LLC Clinic/Center 1430 Monmouth St, Independence, OR 97351-1127 2015-08-19
1710231550 Wvp Medical Group, LLC Family Medicine 2365 Grear St Ne, Salem, OR 97301-2747 2012-11-01
1518225242 Wvp Medical Group, LLC Clinic/Center 1155 Mission St Se, Suite 205, Salem, OR 97302-6228 2012-05-01
1164780060 Wvp Medical Group, LLC Clinic/Center 1000 Se Uglow Ave, Dallas, OR 97338-2645 2012-04-27
1538459938 Wvp Medical Group, LLC Clinic/Center 2478 13th St Se, Ste. 200, Salem, OR 97302-2546 2011-04-19
1750684767 Wvp Medical Group, LLC Clinic/Center 5100 River Rd N, Keizer, OR 97303-5371 2010-12-13
1124352877 Wvp Medical Group, LLC Family Medicine 2485 12th St Se, Salem, OR 97302-2151 2009-09-29

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names WVP MEDICAL GROUP, LLC 245 Commercial St Se Ste 200, Salem, OR 97301

Office Location

Street Address 2995 RYAN DR SE STE 200
City SALEM
State OR
Zip Code 97301-5157

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205450970 Jehan Seals Behavior Technician 3400 State St Set G750, Salem, OR 97301 2020-05-29
1093335929 Sterling Recovery, LLC Dietitian, Registered 3758 Amber St Ne #105, Salem, OR 97301 2020-04-21
1760018360 Riverfront Mental Health LLC Counselor 338 State St, Suite 985, Salem, OR 97301 2020-03-16
1871126888 Amity Beth Haddon Maxwell Social Worker Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 2020-02-18
1861042632 Brenda Grizelda Vargas Behavioral Analyst 3400 State Ste Ste G750, Salem, OR 97301 2019-09-13
1588213177 Natalie Stone Registered Nurse 2045 Siverton Rd Ne, Salem, OR 97301 2019-09-06
1588228720 Jeramy Disenso Counselor 270 Cottage St Ne, Salem, OR 97301 2019-04-23
1801353297 Gwendolyn Kersey Registered Nurse 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 2019-02-21
1841769114 Spine Clinic PC Massage Therapist 1281 Lancaster Drive Ne, Salem, OR 97301 2018-11-16
1013482132 Kellie Linn Hansen Physical Therapist 4049 Market St Se, Salem, OR 97301 2018-10-04
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871632000 Cascadia Behavioral Healthcare Inc Clinic/Center 1137 25th St Ne, Salem, OR 97301-1604 2007-02-05
1538238928 Cascadia Behavioral Healthcare Inc Clinic/Center 1095 25th St Se, Salem, OR 97301-5049 2006-11-07
1114967817 Cascadia Behavioral Healthcare Inc Clinic/Center 3321 Harold Dr Ne, Salem, OR 97305-1339 2006-06-08
1679520787 Cascadia Behavioral Healthcare Inc Clinic/Center 3325 Harold Dr Ne, Salem, OR 97305-1339 2006-05-27
1104322841 Lilac Wellness Clinic/Center 2651 Commercial St Se Ste 1, Salem, OR 97302-4872 2018-04-02
1215448907 Edge Medical Services Inc. Clinic/Center 13160 Jerusalem Hill Rd Nw, Salem, OR 97304-9622 2017-10-20
1235674136 Breathe Easy With Jenn, PC Clinic/Center 3000 Market St Ne Ste 541, Salem, OR 97301-1835 2016-12-30
1689003550 Central Utah Clinic, P.C. Clinic/Center 555 W Sr 164, Salem, UT 84653 2013-11-01
1902104094 Alouf Aesthetics Clinic/Center 1602 Apperson Dr, Salem, VA 24153-7217 2011-03-14
1942233986 Central Utah Clinic, P.C. Clinic/Center 555 W Sr 164, Salem, UT 84653 2006-07-09
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Competitor

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City SALEM
Zip Code 97301

Improve Information

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Dataset Information

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.

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