Organization Active NPI

Willamette Orthopedic Group LLC

  • Orthopaedic Surgery Physician
  • Corvallis, OR
National Provider Identifier
1720315302
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
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

Updated by the provider on Aug 11, 2015

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
278220MedicaidOR

Other names 1

  • Hope Orthopedics of Oregon Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.