NPIMap

Organization Active NPI

Willamette Valley Imaging and Diagnostics LLC

  • Diagnostic Radiology Physician
  • McMinnville, OR
National Provider Identifier
1770357477
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
WILLAMETTE VALLEY IMAGING AND DIAGNOSTICS LLC
Practice address
275 NE Norton Lane
Suite a
McMinnville, OR 97128
Phone
(503) 560-0175
NPI assigned
Nov 13, 2023
Last updated
Nov 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Authorized official

Name
Isaac Wooten
Title
Member/Manager
Phone
(503) 560-0175

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary
Diagnostic Ultrasound Physician 2085U0001X

Addresses

Primary practice location

275 NE Norton Lane
Suite a
McMinnville, OR 97128

Mailing address

2628 NE Cole Ave
McMinnville, OR 97128-8482
Phone (503) 560-0175

National Provider Directory

National Provider Directory

Locations

275 NE Norton LN
Ste a
McMinnville, OR 97128
Phone (503) 560-0175

NPI Registry JSON

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1770357477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2628 NE COLE AVE",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971288482",
            "telephone_number": "503-560-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 NE NORTON LANE",
            "address_2": "SUITE A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "97128",
            "telephone_number": "503-560-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAMETTE VALLEY IMAGING AND DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "WOOTEN",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "503-560-0175"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.