| Wvp Medical Group- Boulder Creek | |
|
2485 12th St. Se Salem OR 97302-0000 | |
| (503) 363-8047 | |
| (503) 363-6571 |
| Full Name | Wvp Medical Group- Boulder Creek |
|---|---|
| Speciality | Clinic/center |
| Location | 2485 12th St. Se, Salem, 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 Medical Group- Boulder Creek 2485 12th St. Se Salem OR 97302-0000 Ph: () - | Wvp Medical Group- Boulder Creek 2485 12th St. Se Salem OR 97302-0000 Ph: (503) 363-8047 |
| NPI Number | 1831504968 |
|---|---|
| Provider Enumeration Date | 06/27/2014 |
| Last Update Date | 06/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831504968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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