| NPI | 1831504968 |
|---|---|
| Doing Business As | WVP MEDICAL GROUP- BOULDER CREEK |
| Entity Type | Organization |
| Authorized Contact | DEAN ANDRETTA CFO 503-371-7701 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2014-06-27 |