| NPI | 1336902121 |
|---|---|
| Doing Business As | WILLAMETTE VALLEY PEDIATRICS & ADOLESCENT MEDICINE |
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE LAWRENCE Secretary 615-920-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-09-24 |