Organization Active NPI

Willamette Falls Hospital

  • Internal Medicine Physician
  • West Linn, OR
National Provider Identifier
1407063597
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WILLAMETTE FALLS HOSPITAL
Practice address
18676 Willamette Dr Ste 100
West Linn, OR 97068-1718
Phone
(503) 635-6430
Fax
(503) 635-1342
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Authorized official

Name
Troy L Blomquist
Title
Director
Phone
(506) 557-2917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

18676 Willamette Dr Ste 100
West Linn, OR 97068-1718

Mailing address

1510 Division St Ste 200
Oregon City, OR 97045-1599
Phone (503) 650-6880

Other names 1

  • West Linn Internal Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

18676 Willamette Dr
Ste 100
West Linn, OR 97068
Phone (503) 635-6430

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1407063597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 DIVISION ST STE 200",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451599",
            "telephone_number": "503-650-6880",
            "fax_number": "503-650-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18676 WILLAMETTE DR STE 100",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970681718",
            "telephone_number": "503-635-6430",
            "fax_number": "503-635-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAMETTE FALLS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "BLOMQUIST",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "506-557-2917"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Linn Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Linn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.