Organization
WILLAMETTE COMMUNITY MEDICAL GROUP
Active
Parent organization
WILLAMETTE COMMUNITY MEDICAL GROUP
Other names
Thurston Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILLAMETTE COMMUNITY MEDICAL GROUP
Authorized official
DEBBIE BREWER (DIRECTOR)
(615) 465-7262
Entity
Organization
Contact information
Practice address
5781 MAIN ST, SPRINGFIELD, OR 97478-5426
(541) 284-1694
(541) 242-4760
Mailing address
4000 MERIDIAN BLVD, ATTN: DEBBIE BREWER, FRANKLIN, TN 37067-6325
(615) 465-7626
(615) 465-3007
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285819094
NPI
OR
Enumeration date
12/31/2007
Last updated
02/17/2009
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