Willamette Valley Toxicology

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

WILLAMETTE VALLEY TOXICOLOGY

Practice address

545 SW 2ND St
Suite 201
Corvallis, OR 97333-4466

Phone

(541) 760-4775

NPI assigned

Mar 7, 2013

Last updated

Nov 16, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Manny Cruz

Title

Owner

Phone

(541) 760-4775

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karen Lee Weisman, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Corvallis, OR
  • NPI 1134100944
  NPD (past)
• Iftikhar Ahmed, M.D.

  • Dermatopathology (Pathology) Physician
  • Phoenix, AZ
  • NPI 1851376305
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1053652594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 SW 2ND ST",
            "address_2": "SUITE 201",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334466",
            "telephone_number": "541-760-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 SW 2ND ST",
            "address_2": "SUITE 201",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334466",
            "telephone_number": "541-760-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAMETTE VALLEY TOXICOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "MANNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-760-4775",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael W Will, PHARMD
• Willamette Internal Medicine, PC
• Willamette Orthopedic Group LLC (Hope Orthopedics of Oregon)
• Willamette Orthotics & Prosthetics LLC (Summit Orthotics & Prosthetics)
• Willamette Therapeutic Massage, LLC
• Ryan Willen, D.O.
• Alec Williams
• Amy Jo Williams, PHD
• Anthony D Williams
• Brett J Williams, PT, DPT

• Clinical Medical Laboratory in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Clinical Medical Laboratory in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.