| Willamette Valley Clinics Llc | |
|
222 Se Jefferson St Sheridan OR 97378-1924 | |
| (503) 843-4909 | |
| Not Available |
| Full Name | Willamette Valley Clinics Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 222 Se Jefferson St, Sheridan, Oregon |
| Authorized Official Name and Position | Charlotte Lawrence (SECRETARY) |
| Authorized Official Contact | 6159207000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willamette Valley Clinics Llc 7100 Commerce Way Ste. 180 Brentwood TN 37027-2829 Ph: (615) 465-7626 | Willamette Valley Clinics Llc 222 Se Jefferson St Sheridan OR 97378-1924 Ph: (503) 843-4909 |
| NPI Number | 1033173604 |
|---|---|
| Provider Enumeration Date | 04/12/2006 |
| Last Update Date | 09/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033173604 | NPI | - | NPPES |
| 287735 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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