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Organization

WILLAMETTE CLINIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHERI L LAIRD MD (OWNER)
(503) 496-0290
Entity
Organization

Contact information

Practice address
1750 BLANKENSHIP ROAD, SUITE 280, WEST LINN, OR 97068-8269
(503) 496-0290
(503) 496-3166
Mailing address
1750 BLANKENSHIP ROAD, SUITE 280, WEST LINN, OR 97068-8269
(503) 496-0290
(503) 496-3166

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD21936
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
134282
OR
Enumeration date
03/05/2008
Last updated
05/11/2009
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