Organization
WVP MEDICAL GROUP, LLC
Active
Parent organization
WVP MEDICAL GROUP, LLC
Other names
Clinical Support Providers, WVP Clinically Integrated Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
WVP MEDICAL GROUP, LLC
Authorized official
MANUEL RIVERA (CEO)
(503) 587-5116
Entity
Organization
Contact information
Practice address
2995 RYAN DR SE STE 200, SALEM, OR 97301-5157
(503) 587-5116
(503) 581-7422
Mailing address
2995 RYAN DR SE STE 200, SALEM, OR 97301-5157
(503) 371-7701
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/27/2018
Last updated
06/05/2025
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