Organization
WILLAMETTE ORTHOPEDIC GROUP, LLC
Active
Other names
Hope Orthopedics of Oregon
Organization subpart
No
Provider details
NPI number
Authorized official
LORISSA ADDABBO (CEO)
(503) 540-6300
Entity
Organization
Contact information
Practice address
591 SE CLAY ST, DALLAS, OR 97338-2812
(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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278220
—
OR
Enumeration date
02/18/2022
Last updated
02/25/2022
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