Willamette Clinic, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD21936 Issued in OR

Legal business name

WILLAMETTE CLINIC, LLC

Practice address

1750 Blankenship Road
Suite 280
West Linn, OR 97068-8269

Phone

(503) 496-0290

Fax

(503) 496-3166

NPI assigned

Mar 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Sheri L Laird, MD

Title

Owner

Phone

(503) 496-0290

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242000000000",
    "number": "1821268822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 BLANKENSHIP ROAD",
            "address_2": "SUITE 280",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970688269",
            "telephone_number": "503-496-0290",
            "fax_number": "503-496-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 BLANKENSHIP ROAD",
            "address_2": "SUITE 280",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970688269",
            "telephone_number": "503-496-0290",
            "fax_number": "503-496-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAMETTE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2009-05-11",
        "status": "A",
        "authorized_official_last_name": "LAIRD",
        "authorized_official_first_name": "SHERI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-496-0290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "MD21936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134282",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Jo Wickstrom, LAC
• Shiloh D Wihksne, DC, LLC
• Wild Oak Therapeutic Farm, LLC
• Paxton Marie Wilkinson
• Rachel Wilkinson, PT
• Willamette Eye Health LLC
• Willamette Falls Chiropractic Clinic, LLC
• Willamette Falls Hospital (West Linn Internal Medicine)
• Willamette Nurse Consultant Group LLC
• Willamette Pain and Spine Center, PC

• Primary Care Clinic/Center in West Linn, OR
• Providers in West Linn, OR by specialty
• Primary Care Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; 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.