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Wvp Medical Group, Llc
Primary Care Clinic/Center in Dallas, Oregon
NPI 1164780060

Wvp Medical Group, Llc is a Primary Care Clinic/Center based in Salem, OR and is specialized in Primary Care. Wvp Medical Group, Llc practices in Dallas, OR. The NPI Number for Wvp Medical Group, Llc is 1164780060 and holds a License No. DO10396 (Oregon).

The current practice location address for Wvp Medical Group, Llc is 1000 Se Uglow Ave, Dallas, OR and can be reached out via phone at 503-623-8376.

Location: 1000 Se Uglow Ave, Dallas, OR, 97301-5157
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164780060
Provider Name
Wvp Medical Group, Llc
Credential
Provider Entity Type
Organization
Address
1000 Se Uglow Ave, Dallas, OR, 97301-5157
Phone Number
503-623-8376
Fax Number
Provider Enumeration Date
04/27/2012
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
288533 05 OR
institution
Provider Business Practice Location Address Details
Address
1000 Se Uglow Ave
City
Dallas
State
Oregon
Zip
97338-2645
Phone Number
503-623-8376
Fax Number
person
Provider Business Mailing Address Details
Address
1000 Se Uglow Ave
City
Dallas
State
Oregon
Zip
97338-2645
Phone Number
503-623-8376
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
DO10396 (Oregon)
Definition
Definition to come...
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