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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
MR. DAVID L SCHLACTUS (CEO)
(503) 540-6375
Entity
Organization
Contact information
Practice address
607 SE JEFFERSON ST, DALLAS, OR 97338
(503) 540-6300
Mailing address
1600 STATE ST, SALEM, OR 97301-4257
(503) 540-6300
(503) 540-6404
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
OR
207XS0106X
Orthopaedic Hand Surgery Physician
—
OR
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
OR
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
OR
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
OR
207XX0801X
Orthopaedic Trauma Physician
—
OR
2086S0105X
Surgery of the Hand (Surgery) Physician
—
OR
2086S0127X
Trauma Surgery Physician
—
OR
225100000X
Physical Therapist
—
OR
225XH1200X
Hand Occupational Therapist
—
OR
363A00000X
Physician Assistant
—
OR
363AS0400X
Surgical Physician Assistant
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278220
—
OR
Enumeration date
04/16/2012
Last updated
04/16/2012
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