Organization
WILLAMETTE VALLEY IMAGING AND DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISAAC WOOTEN (MEMBER/MANAGER)
(503) 560-0175
Entity
Organization
Contact information
Practice address
275 NE NORTON LANE, SUITE A, MCMINNVILLE, OR 97128
(503) 560-0175
Mailing address
2628 NE COLE AVE, MCMINNVILLE, OR 97128-8482
(503) 560-0175
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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