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Organization

WILLAMETTE VALLEY CLINICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBBIE BREWER (DIRECTOR)
(615) 465-7626
Entity
Organization

Contact information

Practice address
232 NE NORTON LN, MCMINNVILLE, OR 97128-8470
(503) 434-4468
Mailing address
7100 COMMERCE WAY, STE. 180, BRENTWOOD, TN 37027-2829
(615) 465-7626
(615) 465-3007

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
261QR0200X
Radiology Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
287743
OR
01
CO 66
RR MEDICARE
OR
Enumeration date
04/12/2006
Last updated
01/16/2008
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