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Organization
WILLAMETTE ORTHOPEDIC GROUP LLC
Active
Organization
WILLAMETTE ORTHOPEDIC GROUP LLC
Active
Other names
Hope Orthopedics of Oregon
Organization subpart
No
Provider details
NPI number
Authorized official
LORISSA ADDABBO (CEO)
(503) 540-6465
Entity
Organization
Contact information
Practice address
1600 STATE ST, SALEM, OR 97301-4257
(503) 540-6300
Mailing address
1600 STATE ST, SALEM, OR 97301-4257
(503) 540-6300
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
NULL
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
NULL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
NULL
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
NULL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
NULL
207XX0801X
Orthopaedic Trauma Physician
—
—
225000000X
Orthotic Fitter
OTC090820
OR
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225XH1200X
Hand Occupational Therapist
—
NULL
225XH1200X
Hand Occupational Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
NULL
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278220
—
OR
Enumeration date
07/14/2006
Last updated
02/05/2021
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