Willamette Falls Hospital

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WILLAMETTE FALLS HOSPITAL

Doing business as

Sunnyside Internal Medicine

Practice address

9755 SE Sunnyside Rd
Ste 800
Clackamas, OR 97015-6784

Phone

(503) 654-2364

Fax

(503) 786-1524

NPI assigned

May 18, 2007

Organization subpart

No

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

(503) 557-2917

Specialties & licenses 1

Addresses

Other names 1

• Sunnyside Internal Medicine Doing business as

Locations

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427266246",
    "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": "9755 SE SUNNYSIDE RD",
            "address_2": "STE 800",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970156784",
            "telephone_number": "503-654-2364",
            "fax_number": "503-786-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAMETTE FALLS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "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": "503-557-2917"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunnyside Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morgan Marie Wigington
• Kathy Smith Wijaya, PT
• Misty Wilcox
• Wild Peloria, LLC
• Ashtin Brooke Wilhelmstoetter, MD
• Willamette Pain & Spine Center PC (Sunnyside Pharmacy)
• Willamette Valley Transport, Inc
• Alan Robertson Williams II, M.D.
• Danielle Williams, CNA2
• Jessica Williams, MA, CADC I

• Internal Medicine Physician in Clackamas, OR
• Providers in Clackamas, 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 Aug 22, 2020; 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.