| Wvp Independence Monmouth | |
|
1430 Monmouth St Independence OR 97351-1127 | |
| (503) 838-1133 | |
| (503) 838-5138 |
| Full Name | Wvp Independence Monmouth |
|---|---|
| Speciality | Clinic/center |
| Location | 1430 Monmouth St, Independence, Oregon |
| Authorized Official Name and Position | Dean Andretta (CFO) |
| Authorized Official Contact | 5033717701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wvp Independence Monmouth 2995 Ryan Dr Se Ste 200 Salem OR 97301-5157 Ph: (503) 371-7701 | Wvp Independence Monmouth 1430 Monmouth St Independence OR 97351-1127 Ph: (503) 838-1133 |
| NPI Number | 1538535059 |
|---|---|
| Provider Enumeration Date | 08/19/2015 |
| Last Update Date | 04/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538535059 | NPI | - | NPPES |
| 288533 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Independence-monmouth Family Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1430 Monmouth St, Independence, OR 97351 Phone: 503-838-1133 Fax: 503-838-5138 |