Organization
WVP MEDICAL GROUP, LLC
Active
Organization
WVP MEDICAL GROUP, LLC
Active
Parent organization
WVP MEDICAL GROUP, LLC
Other names
Clinical Support Providers, WVP Clinically Integrated Health, Mid Valley IPA LLC dba WVP Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
WVP MEDICAL GROUP, LLC
Authorized official
KRISTA LOVAAS (SR DIRECTOR OF OPS)
(503) 587-5123
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
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
09/27/2018
Last updated
08/12/2026
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