Organization
WILLAMETTE COMMUNITY MEDICAL GROUP LLC
Active
Parent organization
WILLAMETTE COMMUNITY MEDICAL GROUP LLC
Other names
OMG PHYSICAL THERAPY
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILLAMETTE COMMUNITY MEDICAL GROUP LLC
Authorized official
DEBBIE BREWER (DIRECTOR)
(615) 465-7626
Entity
Organization
Contact information
Practice address
920 COUNTRY CLUB RD, STE. 210B, EUGENE, OR 97401-6024
(541) 242-4712
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
—
1326223207
NPI
OR
Enumeration date
01/09/2008
Last updated
02/17/2009
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