Virginia San Miguel MD PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

MD25567 Issued in OR

Legal business name

VIRGINIA SAN MIGUEL MD PC

Practice address

21810 Willamette Dr
West Linn, OR 97068-3256

Phone

(503) 656-8072

Fax

(503) 557-8012

NPI assigned

Mar 18, 2008

Organization subpart

No

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

Authorized official

Name

Virginia V. San Miguel, MD

Title

President

Phone

(503) 656-8072

Specialties & licenses 1

Addresses

Other names 1

• West Linn Women's Clinic Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karoline Woitke, PA-C

  • Physician Assistant
  • West Linn, OR
  • NPI 1215046172
  NPD (past)

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1508037482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21810 WILLAMETTE DR",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970683256",
            "telephone_number": "503-656-8072",
            "fax_number": "503-557-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21810 WILLAMETTE DR",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970683256",
            "telephone_number": "503-656-8072",
            "fax_number": "503-557-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA SAN MIGUEL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "SAN MIGUEL",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-656-8072",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OR",
            "license": "MD25567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Linn Women's Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Katarina Vangaasbeek
• Franchesca H Vermillion, DC
• Danielle Jo Verona, OTR/L
• Daniel Vick
• Angela R Vinti, PHARMD, BCPS
• VVRX Pharmacy Billing Solutions LLC
• Terrence K Wager, PSY.D.
• Gary M Wagman, L. AC.
• Robert Bastian Wagner, MD
• Shelbie Rene Wallace, LPC

• Medical Specialty Clinic/Center in West Linn, OR
• Providers in West Linn, OR by specialty
• Medical Specialty Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.