# WILLAMETTE ANESTHESIOLOGY GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598711996
- **Authorized official:** MR. ROBERT MARK HERR (FINANCIAL OFFICER)
- **Authorized official phone:** (503) 655-0255

## Contact information

- **Practice address:** 1500 DIVISION ST, OREGON CITY, OR 97045-1527
- **Practice address phone:** (503) 656-1631
- **Mailing address:** PO BOX 1600, OREGON CITY, OR 97045-0600
- **Mailing address phone:** (503) 655-0255
- **Mailing address fax:** (503) 655-0255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/26/2006
- **Last updated:** 10/19/2007
