Willamette Medical Labs, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD10790 Issued in OR

Legal business name

WILLAMETTE MEDICAL LABS, INC.

Practice address

9735 SW Shady LN Ste 203
Tigard, OR 97223-5481

Phone

(503) 697-9777

Fax

(503) 597-3708

NPI assigned

Jan 13, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jerry Darm, MDNPI 1134337314

Title

President

Phone

(503) 697-9777

Specialties & licenses 1

Addresses

Other names 1

• Aesthetic Medicine Doing business as

Locations

Practitioners 1

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

• Jerry Roy Darm, M.D.

  • General Practice Physician
  • Lake Oswego, OR
  • NPI 1134337314
  NPD (past) Authorized official

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1891025854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 SW SHADY LN STE 203",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235481",
            "telephone_number": "503-697-9777",
            "fax_number": "503-597-3708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9735 SW SHADY LN STE 203",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235481",
            "telephone_number": "503-697-9777",
            "fax_number": "503-597-3708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAMETTE MEDICAL LABS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "DARM",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-697-9777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD10790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aesthetic Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason Cooper Whittington, DPT
• Brielle Madeline Wiener, BS
• Joanna Louise Wilder, APRN-NP, CNM, CPM
• Jaclyn P Wiley
• Latori Rose Marie Wilkerson
• Willamette Wellness Home Care LLC
• Bryce Rustin Willcox, DMD, MS
• Amanda Williams
• Brianna Williams
• Chantia Shyannne Williams

• Specialist in Tigard, OR
• Providers in Tigard, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.