NPIMap

Organization Active NPI

WVP Medical Group, LLC

Doing business as Clinical Support Providers

  • Community/Behavioral Health Agency
  • Salem, OR
National Provider Identifier
1922583616
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WVP MEDICAL GROUP, LLC
Doing business as
Clinical Support Providers
Mid Valley IPA LLC dba WVP Medical Group
WVP Clinically Integrated Health
Practice address
2995 Ryan Dr SE Ste 200
Salem, OR 97301-5157
Phone
(503) 587-5116
Fax
(503) 581-7422
NPI assigned
Sep 27, 2018
Last updated
Aug 12, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
WVP MEDICAL GROUP, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Authorized official

Name
Krista Lovaas
Title
Sr Director of Ops
Phone
(503) 587-5123

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

2995 Ryan Dr SE Ste 200
Salem, OR 97301-5157

Mailing address

2995 Ryan Dr SE Ste 200
Salem, OR 97301-5157
Phone (503) 371-7701

Other names 3

  • Clinical Support Providers Doing business as
  • Mid Valley IPA LLC dba WVP Medical Group Doing business as
  • WVP Clinically Integrated Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100209000818 OR Part B Supplier - Clinic/Group Practice 4486627965 Receives reassigned benefits from 3 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Salem, OR
O20200901001891 OR Part B Supplier - Mass Immunization (Roster Biller Only) 4486627965 Practice locations: Salem, OR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Medical Management LLC3 organizations share this tax ID, including this one
Part of
Medical Management LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1430 Monmouth St
Independence, OR 97351
Phone (503) 838-1133

2480 Liberty St NE
Ste 108
Salem, OR 97301
Phone (503) 363-8047

2995 Ryan Dr SE
Ste 200
Salem, OR 97301
Phone (503) 371-7701

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1922583616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 RYAN DR SE STE 200",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973015157",
            "telephone_number": "503-371-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 RYAN DR SE STE 200",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973015157",
            "telephone_number": "503-587-5116",
            "fax_number": "503-581-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WVP MEDICAL GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WVP MEDICAL GROUP, LLC",
        "enumeration_date": "2018-09-27",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "LOVAAS",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "SR DIRECTOR OF OPS",
        "authorized_official_telephone_number": "503-587-5123"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinical Support Providers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clinical Support Providers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mid Valley IPA LLC dba WVP Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WVP Clinically Integrated Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.