Organization
WILLAMETTE ORTHOPEDIC GROUP LLC
Active
Other names
Hope Orthopedics of Oregon - Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DAVID L SCHLACTUS (CEO)
(503) 315-7338
Entity
Organization
Contact information
Practice address
1600 STATE ST, SALEM, OR 97301-4257
(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
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278228
—
OR
Enumeration date
04/27/2011
Last updated
05/16/2011
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