Organization
WILLAMETTE COMMUNITY MEDICAL GROUP LLC
Active
Parent organization
WILLAMETTE COMMUNITY MEDICAL GROUP
Other names
Valley Childrens Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILLAMETTE COMMUNITY MEDICAL GROUP
Authorized official
DEBBIE BREWER (DIRECTOR)
(615) 465-7626
Entity
Organization
Contact information
Practice address
2000 N 19TH ST, SPRINGFIELD, OR 97477-2526
(541) 746-5437
(541) 746-3753
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
Enumeration date
12/31/2007
Last updated
12/31/2007
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