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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
KATE OTHUS CEO (CEO)
(503) 540-6323
Entity
Organization
Contact information
Practice address
1128 NE 2ND ST, CORVALLIS, OR 97330-6230
(503) 540-6300
(503) 540-6404
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278220
—
OR
Enumeration date
11/03/2009
Last updated
08/11/2015
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