Willamette Valley Mammography in Springfield - Specialist

Willamette Valley Mammography - NPI 1821121344

Willamette Valley Mammography is a Specialist in Springfield, Oregon. Willamette Valley Mammography practices all healthcare services and medical treatments related to Specialist. The NPI Number for Willamette Valley Mammography is 1821121344. The last update date is 2008-01-04.

Willamette Valley Mammography's current location address is 960 16th St Ste 105, Springfield, Oregon. You can contact this provider via phone number 5417264699. The mailing address for Willamette Valley Mammography is 960 16th St Ste 105, Springfield, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization Willamette Valley Mammography
Address 960 16th St Ste 105, Springfield, Oregon
Phone Number 5417264699
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Bridges L Vicki
Telephone Number 5417264699

NPI Number Detail

NPI Number 1821121344
Provider Enumeration Date 2007-03-13
Last Updated Date 2008-01-04

Provider Mailing Address Detail

Address 960 16th St Ste 105
City Springfield
State Oregon (OR)
Post Code 974774175
Phone Number 5417264699
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
C03559 OR RAILROAD MEDICARE
18382 OR --

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FAQs about Willamette Valley Mammography

What is the unique provider identifier assigned to Willamette Valley Mammography?

The Willamette Valley Mammography has been issued the NPI (National Provider Identifier) 1821121344 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Willamette Valley Mammography?

The Willamette Valley Mammography is situated at 960 16Th St Ste 105, in the city of Springfield, state of OR, with the zip code 974774175.

What is Willamette Valley Mammography's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Willamette Valley Mammography's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1821121344 to Willamette Valley Mammography?

The Centers for Medicare & Medicaid Services originally issued the 1821121344 to Willamette Valley Mammography on 2007-03-13.

As of what date was the information pertaining to Willamette Valley Mammography, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Willamette Valley Mammography, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-01-04.

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