Willamette Internal Medicine, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OR17598 Issued in OR

Legal business name

WILLAMETTE INTERNAL MEDICINE, PC

Practice address

6029 SW Grand Oaks Dr
Corvallis, OR 97333-3957

Phone

(541) 740-3341

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Karen Griffis, FNP

Title

Co-Owner

Phone

(541) 740-3341

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1073548582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6029 SW GRAND OAKS DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973333957",
            "telephone_number": "541-740-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6029 SW GRAND OAKS DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973333957",
            "telephone_number": "541-740-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAMETTE INTERNAL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GRIFFIS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "541-740-3341",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "OR17598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269638",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lloyd Harvey Wiggins, MD
• Tara M Wikert
• Wild Geese Mental Health LLC
• Izsak Wilkinson
• Michael W Will, PHARMD
• Willamette Orthopedic Group LLC
• Willamette Orthotics & Prosthetics LLC
• Willamette Therapeutic Massage, LLC
• Willamette Valley Toxicology
• Ryan Willen, D.O.

• Internal Medicine Physician in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.