Organization
WILLAMETTE COMMUNITY MEDICAL GROUP LLC
Active
Parent organization
WILLAMETTE COMMUNITY MEDICAL GROUP LLC
Other names
Southtowne Family Medicine & Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILLAMETTE COMMUNITY MEDICAL GROUP LLC
Authorized official
DEBBIE BREWER (DIRECTOR)
(615) 465-7626
Entity
Organization
Contact information
Practice address
1835 PEARL ST, EUGENE, OR 97401-4119
(541) 687-1668
(541) 684-3061
Mailing address
4000 MERIDIAN BLVD, ATTN: DEBBIE BREWER, FRANKLIN, TN 37067-6325
(615) 465-7626
(615) 465-3007
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821273632
NPI
OR
Enumeration date
12/31/2007
Last updated
02/17/2009
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