NPI | 1982148789 |
---|---|
Doing Business As | WVP THE DOCTORS CLINIC |
Entity Type | Organization |
Authorized Contact | DEAN ANDRETTA CFO 503-371-7701 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
208600000X Surgery | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2016-12-13 |
Last Update Date | 2018-04-17 |