Organization
WVP MEDICAL GROUP, LLC
Active
Parent organization
MID VALLEY IPA
Other names
WVP-McGilchrist
Organization subpart
Yes
Provider details
NPI number
Legal business name
MID VALLEY IPA
Authorized official
MR. DEAN G. ANDRETTA (CFO)
(503) 371-7701
Entity
Organization
Contact information
Practice address
2478 13TH ST SE, STE. 200, SALEM, OR 97302-2546
(503) 588-5892
(505) 485-0709
Mailing address
2478 13TH ST SE, STE. 200, SALEM, OR 97302-2546
(503) 588-5892
(503) 485-0709
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
OR
Other
Enumeration date
04/19/2011
Last updated
05/01/2012
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