Organization
WILLAMETTE VALLEY MAMMOGRAPHY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKI L BRIDGES (OFFICE MANAGER)
(541) 726-4699
Entity
Organization
Contact information
Practice address
2401 RIVER RD, EUGENE, OR 97404-5414
(541) 689-6163
(541) 689-3467
Mailing address
960 16TH ST STE 105, SPRINGFIELD, OR 97477-4175
(541) 726-4699
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018382
—
OR
01
—
C03559
RAILROAD MEDICARE
OR
Enumeration date
03/13/2007
Last updated
01/04/2008
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