WILLAMETTE VALLEY FOOT & ANKLE CENTER PC (NPI# 1639158611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639158611 |
| Entity Type | Organization |
| Organization Name | WILLAMETTE VALLEY FOOT & ANKLE CENTER PC |
| Practice Address |
212 Ne Norton Ln Mcminnville OR 97128-8470 |
| Practice Telephone | 5034350130 |
| Practice Fax Number | 5034350145 |
| Mailing Telephone | 5034350130 |
| Mailing Fax Number | 5034350145 |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2008-02-21 |
| Authorized Official Name | DR. JEFFREY R RUSSO (PRESIDENT) |
| Authorized Official Telephone | 5034350130 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 231897 | 05 |
| Street Address |
212 NE NORTON LN |
| City | MCMINNVILLE |
| State | OR |
| Zip Code | 97128-8470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598962060 | Jeffrey Robert Russo | Podiatrist | 212 Ne Norton Ln, Mcminnville, OR 97128-8470 | 2007-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565035 | Bkd Hillside Opco, LLC | Skilled Nursing Facility | 440 Nw Hillside Park Way, Mcminnville, OR 97128 | 2020-10-16 |
| 1811502636 | Sean Peter Christian Cavaghan | Counselor | 1900 Ne Hwy 99, Suite K, Mcminnville, OR 97128 | 2020-09-09 |
| 1386269637 | Tending The Vineyard | Clinic/Center | 127 Nw Highway 99w, Mcminnville, OR 97128 | 2020-06-12 |
| 1619441094 | Kami Naber | Counselor | 672 Ne Evans St, Mcminnville, OR 97128 | 2019-01-18 |
| 1720552102 | Lauren Nicole Abshire | Counselor | 672 Ne Evans Street, Mcminnville, OR 97128 | 2019-01-18 |
| 1366933376 | Maria G Guerrero | Specialist | 325 Nw Fenton St, Mcminnville, OR 97128 | 2018-05-24 |
| 1235628819 | Julie Luedtke | Health Educator | 300 Sw Hill Road South, Mcminnville, OR 97128 | 2018-05-09 |
| 1356838817 | Jacqueline Ann Hausman | Massage Therapist | 119 Ne 3rd St., Mcminnville, OR 97128 | 2018-04-19 |
| 1366960007 | Alexis R Burke | Counselor | 625 Ne Galloway, Mcminnville, OR 97128 | 2017-09-01 |
| 1871018705 | Amanda Rose Bunch | Counselor | 418 Se Holly Way, Mcminnville, OR 97128 | 2017-08-11 |
| Find all providers in zip 97128 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386070464 | Robert W Geister and Associates Inc | Clinic/Center | 39400 Pioneer Blvd, Suite 4, Sandy, OR 97055-8000 | 2013-09-19 |
| 1649448804 | Eugene Podiatry Associates PC | Clinic/Center | 1060 Chambers St., Eugene, OR 97402 | 2008-02-11 |
| 1508967886 | Medford Foot & Ankle Clinic, PC | Clinic/Center | 713 Golf View Drive, Medford, OR 97504-9643 | 2006-09-26 |
| 1912413147 | Santiam Memorial Hospital | Clinic/Center | 1369 N 10th Ave, Stayton, OR 97383 | 2017-12-26 |
| 1659638872 | R Tyson Scott Dpm LLC | Clinic/Center | 800 Liberty St Se, Salem, OR 97302 | 2012-04-12 |
| 1851557607 | Ankle and Foot Clinic of Oregon | Clinic/Center | 5528 Se Powell Blvd, Portland, OR 97206-2956 | 2008-07-31 |
| 1093993453 | Lyndon G Johansen Dpm PC | Clinic/Center | 12658 Se Stark St, Portland, OR 97233-1058 | 2008-02-07 |
| 1215122833 | Yama A Dehqanzada Dpm PC | Clinic/Center | 16770 Sw Edy Rd, Suite 216, Sherwood, OR 97140-9678 | 2007-09-06 |
| 1518945922 | Oregon City Foot Clinic, PC | Clinic/Center | 1510 Division St, Suite 80, Oregon City, OR 97045-1581 | 2006-01-05 |
| City | MCMINNVILLE |
| Zip Code | 97128 |
Please comment or provide details below to improve the information on WILLAMETTE VALLEY FOOT & ANKLE CENTER PC.
| 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.