institution
Willamette General & Vascular Surgery, P.c.
Specialist in Tualatin, Oregon
NPI 1881675973

Willamette General & Vascular Surgery, P.c. is a Specialist based in Tualatin, OR. Willamette General & Vascular Surgery, P.c. practices in Tualatin, OR. The NPI Number for Willamette General & Vascular Surgery, P.c. is 1881675973 and holds a License No. MD19661 (Oregon).

The current practice location address for Willamette General & Vascular Surgery, P.c. is 19875 Sw 65Th Ave, Tualatin, OR and can be reached out via phone at 503-691-1743 and via fax at 503-691-0983.

Location: 19875 Sw 65Th Ave, Tualatin, OR, 97062-8353
institution
Provider Profile Details
NPI Number
1881675973
Provider Name
Willamette General & Vascular Surgery, P.c.
Credential
Provider Entity Type
Organization
Address
19875 Sw 65Th Ave, Tualatin, OR, 97062-8353
Phone Number
503-691-1743
Fax Number
503-691-0983
Provider Enumeration Date
11/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1344830 01 OR UNITED HEALTHCARE INS
5665089 01 OR AETNA
077313 05 OR
1356474910 01 OR SOLE PROVIDER NPI
institution
Provider Business Practice Location Address Details
Address
19875 Sw 65Th Ave
City
State
Zip
97062-8353
Phone Number
503-691-1743
Fax Number
503-691-0983
person
Provider Business Mailing Address Details
Address
19875 Sw 65Th Ave
City
State
Zip
97062-8353
Phone Number
503-691-1743
Fax Number
503-691-0983
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
MD19661 (Oregon)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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