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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
JULIA SHIELDS (CREDENTIALING SPECALIST)
(503) 540-6470
Entity
Organization
Contact information
Practice address
641 SE MILLER AVE, DALLAS, OR 97338-2634
(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
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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