Organization
WILLAMETTE COMMUNITY MEDICAL GROUP LLC
Active
Parent organization
WILLAMETTE COMMUNITY MEDICAL GROUP LLC
Other names
Adult Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILLAMETTE COMMUNITY MEDICAL GROUP LLC
Authorized official
DEBBIE BREWER (DIRECTOR)
(615) 465-7631
Entity
Organization
Contact information
Practice address
920 COUNTRY CLUB RD, STE 200, EUGENE, OR 97401-6024
(541) 342-2134
(541) 686-6021
Mailing address
7100 COMMERCE WAY, STE 180, BRENTWOOD, TN 37027-2829
(615) 465-7000
(615) 465-3017
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790937142
NPI
OR
Enumeration date
10/16/2008
Last updated
02/17/2009
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