WILLAMETTE ORTHOPEDIC GROUP LLC


Address: 607 Se Jefferson St, Dallas, OR 97338
Phone: 5035406300

WILLAMETTE ORTHOPEDIC GROUP LLC (NPI# 1336406354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336406354
Entity Type Organization
Organization Name WILLAMETTE ORTHOPEDIC GROUP LLC
Other Organization Name HOPE ORTHOPEDICS OF OREGON
Practice Address 607 Se Jefferson St
Dallas
OR 97338
Mailing Address 1600 State St
Salem
OR 97301-4257
Practice Telephone 5035406300
Mailing Telephone 5035406300
Mailing Fax Number 5035406404
Enumeration Date 2012-04-16
Last Update Date 2012-04-16
Authorized Official Name MR. DAVID L SCHLACTUS (CEO)
Authorized Official Telephone 5035406375
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207XS0106X Orthopaedic Surgery
Specialization: Hand Surgery
OR Allopathic & Osteopathic Physicians
N 207XS0114X Orthopaedic Surgery
Specialization: Adult Reconstructive Orthopaedic Surgery
OR Allopathic & Osteopathic Physicians
N 207XX0004X Orthopaedic Surgery
Specialization: Foot and Ankle Surgery
OR Allopathic & Osteopathic Physicians
N 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
OR Allopathic & Osteopathic Physicians
N 207XX0801X Orthopaedic Surgery
Specialization: Orthopaedic Trauma
OR Allopathic & Osteopathic Physicians
N 2086S0105X Surgery
Specialization: Surgery of the Hand
OR Allopathic & Osteopathic Physicians
N 2086S0127X Surgery
Specialization: Trauma Surgery
OR Allopathic & Osteopathic Physicians
N 225100000X Physical Therapist OR Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 225XH1200X Occupational Therapist
Specialization: Hand
OR Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 363A00000X Physician Assistant OR Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
OR Physician Assistants & Advanced Practice Nursing Providers
Y 207X00000X Orthopaedic Surgery OR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OR 278220 05

Other Provider/Organization Names

Other Name Type Code
Hope Orthopedics of Oregon Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1013437862 Willamette Orthopedic Group LLC Orthopaedic Surgery 254 Ne Norton Ln, Mcminnville, OR 97128-8470 2017-06-22
1588955314 Willamette Orthopedic Group LLC Orthopaedic Surgery 1600 State St, Salem, OR 97301-4257 2011-04-27
1720315302 Willamette Orthopedic Group LLC Orthopaedic Surgery 1128 Ne 2nd St, Corvallis, OR 97330-6230 2009-11-03
1811224496 Willamette Orthopedic Group LLC Orthopaedic Surgery 5825 Shoreview Ln N, Keizer, OR 97303-3978 2009-11-03
1134145360 Willamette Orthopedic Group LLC Orthopaedic Surgery 1600 State St, Salem, OR 97301-4257 2006-07-14

Office Location

Street Address 607 SE JEFFERSON ST
City DALLAS
State OR
Zip Code 97338

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326026261 William Matthew Lucas Family Medicine 607 Se Jefferson St, Dallas, OR 97338-2025 2006-01-01
1205388949 James Henry Joerger Psychologist 607 Se Jefferson St, Dallas, OR 97338-2025 2016-10-28
1245428903 Oregon Family Health, LLC Clinic/Center 607 Se Jefferson St, Dallas, OR 97338-2025 2007-10-09
1275548562 William Daniel Peffley Family Medicine 607 Se Jefferson St, Dallas, OR 97338-2025 2006-07-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164932042 Stephanie Marie Renfro Massage Therapist 289 E Ellendale Ave #601, Dallas, OR 97338 2017-10-05
1588185953 Herbert Starr Woodward IIi Dentist 201 Se Washington St, Dallas, OR 97338 2017-07-06
1851708077 David Mooso Pharmacist 321 Nw Kings Valley Highway, Dallas, OR 97338 2014-07-21
1841615556 Leslie Lytle Counselor 1020 Sw Maple St., Dallas, OR 97338 2014-03-04
1205265493 Chung-fan Ni Counselor 182 S. W. Academy St., Academy Building, Dallas, OR 97338 2013-11-07
1215204300 Ron Fritz Counselor 239 E. Ellendale, Suite 602, Dallas, OR 97338 2011-11-17
1235420167 Deborah Kennedy Counselor 527 Ne Fern Ave, Dallas, OR 97338 2011-04-26
1821229774 Chelsea Ruhoff Lee Physician Assistant 1000 Se Uglow Avenue, Flaming Medical Center, Dallas, OR 97338 2009-07-27
1013128560 Larry J Vuylsteke Social Worker 182 S.w. Academy, Dallas, OR 97338 2007-05-25
1093926123 Justin W Reed Counselor Academy Building, 182 S.w. Academy St. Suite 304, Dallas, OR 97338 2007-05-24
Find all providers in zip 97338

Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215543566 Ortholonestar, Pllc Orthopaedic Surgery 9301 North Central Expy, Tower 1, Ste 500, Dallas, TX 75231-7523 2020-09-22
1336790971 Javier Errisuriz Orthopaedic Surgery 1130 Beachview St Ste 100, Dallas, TX 75218-3702 2019-09-25
1710548300 Emily Skarda Orthopaedic Surgery 1801 Inwood Drive, Dallas, TX 75390-8883 2019-06-24
1275053605 C3 Assist LLC Orthopaedic Surgery 9101 N Central Expy Ste 360, Dallas, TX 75231-5949 2017-06-27
1467717801 Louis Baxter Jones Orthopaedic Surgery 12222 N Central Expy Ste 210, Dallas, TX 75243 2012-07-11
1649542564 Hip & Joint Specialists of North Texas Pllc Orthopaedic Surgery 7777 Forest Ln Ste C300g, Dallas, TX 75230-6905 2012-02-08
1700167814 David Muzykewicz Orthopaedic Surgery 9301 N Central Expy Ste 350, Dallas, TX 75231 2011-09-01
1497041222 Premier Muscle Testing LLC Orthopaedic Surgery 2409 Wild Cherry Way, Dallas, TX 75206-8372 2011-06-20
1801194675 Dallas Sarcoma Associates Pa Orthopaedic Surgery 4728 Crooked Ln, Dallas, TX 75229-4211 2011-03-03
1386940450 Justin Friedman Orthopaedic Surgery 8220 Walnut Hill Ln Ste 615, Dallas, TX 75231-4424 2011-02-07
Find all providers in DALLAS

Competitor

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City DALLAS
Zip Code 97338

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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