Organization
WILLAMETTE ORTHOPEDIC GROUP LLC
Active
Other names
Hope Orthopedics of Oregon
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORISSA ADDABBO CEO (CEO)
(503) 540-6470
Entity
Organization
Contact information
Practice address
254 NE NORTON LN, MCMINNVILLE, OR 97128-8470
(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
207T00000X
Neurological Surgery Physician
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278220
—
OR
Enumeration date
06/22/2017
Last updated
06/22/2017
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