Active NPI
Willamette Orthopedic Group LLC
- Orthopaedic Surgery Physician
- Corvallis, OR
National Provider Identifier
1720315302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- WILLAMETTE ORTHOPEDIC GROUP LLC
- Doing business as
- Hope Orthopedics of Oregon
- Practice address
- 1128 NE 2ND St
Corvallis, OR 97330-6230 - Phone
- (503) 540-6300
- Fax
- (503) 540-6404
- NPI assigned
- Nov 3, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kate Othus, CEO
- Title
- Ceo
- Phone
- (503) 540-6323
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
1128 NE 2ND St
Corvallis, OR 97330-6230
Mailing address
1600 State St
Salem, OR 97301-4257
Phone (503) 540-6300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 278220 | Medicaid | OR |
Other names 1
- Hope Orthopedics of Oregon
National Provider Directory
National Provider DirectoryLocations
1128 NE 2nd St
Ste 201
Corvallis, OR 97330
Phone (541) 757-7100
591 SE Clay St
Dallas, OR 97338
Phone (503) 561-7100
1280 Center St NE
Salem, OR 97301
Phone (503) 507-4992
1489 State St
Salem, OR 97301
Phone (503) 362-3671
875 Medical Center Dr NE
Salem, OR 97301
Phone (503) 581-5107
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Salem, OR
- NPI 1780601245
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Bend, OR
- NPI 1912923152
-
- Orthopaedic Surgery Physician
- Salem, OR
- NPI 1871510339
-
- Orthopaedic Surgery Physician
- Salem, OR
- NPI 1306863873
-
- Surgery of the Hand (Surgery) Physician
- Salem, OR
- NPI 1558388025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439251200000",
"number": "1720315302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 STATE ST",
"city": "SALEM",
"state": "OR",
"postal_code": "973014257",
"telephone_number": "503-540-6300",
"fax_number": "503-540-6404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1128 NE 2ND ST",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973306230",
"telephone_number": "503-540-6300",
"fax_number": "503-540-6404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLAMETTE ORTHOPEDIC GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-03",
"last_updated": "2015-08-11",
"status": "A",
"authorized_official_last_name": "OTHUS",
"authorized_official_first_name": "KATE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "503-540-6323",
"authorized_official_credential": "CEO"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "278220",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hope Orthopedics of Oregon",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.