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1750684767
WVP MEDICAL GROUP, LLC
KEIZER, OR
NPI
1750684767
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Entity Type
Organization
Authorized Contact
DEAN ANDRETTA
CFO
503-371-7701
Organization Subpart ?
Yes
Primary Taxonomy
261QP2300X Clinic/Center Primary Care
Enumeration Date
2010-12-13
Last Update Date
2018-04-17
Business Address
WVP MEDICAL GROUP, LLC
5100 RIVER RD N
KEIZER, OR 97303-5371
Phone number: 503-393-2533
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Mailing Address
WVP MEDICAL GROUP, LLC
2995 RYAN DR SE STE 200
SALEM, OR 97301-5157
Phone number: 503-371-7701
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