Organization
WILLAMETTE ORTHOPEDIC GROUP, LLC
Active
Other names
Hope Orthopedics of Oregon
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA SHIELDS (CREDENTIALING SPECALIST)
(503) 540-6470
Entity
Organization
Contact information
Practice address
641 SE MILLER AVE, DALLAS, OR 97338-2634
(503) 540-6300
(503) 540-6404
Mailing address
1600 STATE ST, SALEM, OR 97301-4257
(503) 540-6300
(503) 540-6404
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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