| Willamette Valley Medical Consultants, Llc | |
|
6250 Commercial St Se Ste 100 Salem OR 97306-2988 | |
| (503) 436-6994 | |
| (715) 504-8646 |
| Full Name | Willamette Valley Medical Consultants, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6250 Commercial St Se Ste 100, Salem, Oregon |
| Authorized Official Name and Position | Dennis Leroy Barnett (CEO) |
| Authorized Official Contact | 5034366994 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Willamette Valley Medical Consultants, Llc 6250 Commercial St Se Ste 100 Salem OR 97306-2988 Ph: (503) 436-6994 | Willamette Valley Medical Consultants, Llc 6250 Commercial St Se Ste 100 Salem OR 97306-2988 Ph: (503) 436-6994 |
| NPI Number | 1609574839 |
|---|---|
| Provider Enumeration Date | 02/17/2023 |
| Last Update Date | 02/17/2023 |
| Medicare PECOS PAC ID | 6608240866 |
|---|---|
| Medicare Enrollment ID | O20230330000657 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609574839 | NPI | - | NPPES |
| 500725506 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Dennis L Barnett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194097931 PECOS PAC ID: 2769606276 Enrollment ID: I20170526001484 |
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