Organization · Type 2 NPI
Willamette Community Medical Group, LLC
Non-Pharmacy Dispensing Site · Springfield, OR
NPI number
1104062371
Active
Practice location
5781 Main St
Springfield, OR 97478-5426
Mailing address
5810 Nancy Ridge Dr, 100
San Diego, CA 92121-2834
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | MD15590 (OR) |
Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
7 other providers at this address
- Icco, LLCUrgent Care Clinic/Center Springfield, OR NPI 1528356953
- Oregon Medical Group at Thurston Physical TherapyPhysical Therapist Springfield, OR NPI 1306813795
- Willamette Community Medical GroupDurable Medical Equipment & Medical Supplies Springfield, OR NPI 1285819094
- Karen Poague, PTPhysical Therapist Springfield, OR NPI 1225014533
- Makenzie Leigh WyattFamily Nurse Practitioner Springfield, OR NPI 1558276535
- Rebecca Rivera, FNPFamily Nurse Practitioner Springfield, OR NPI 1962161638
- Susan E. Jensen, PA-CPhysician Assistant Springfield, OR NPI 1528150927
Other non-pharmacy dispensing site providers in Springfield
About NPI 1104062371
Willamette Community Medical Group, LLC's National Provider Identifier is 1104062371, issued on Dec 18, 2008. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Springfield, OR. The record was last updated on Dec 18, 2008.