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OMG THURSTON MEDICAL GROUP
NPI 1104062371
Non-Pharmacy Dispensing Site in Springfield, OR

Active since December 18, 2008
5781 MAIN ST, SPRINGFIELD, OR 97478(541) 284-1694 Get Directions Write a Review

NPPES record last updated: December 18, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Omg Thurston Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMG THURSTON MEDICAL GROUP (NPI 1104062371) is a healthcare organization registered as a non-pharmacy dispensing site in Springfield, Oregon and active in the NPI registry since December 2008. The organization lists Kenny Heine, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1104062371
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameWILLAMETTE COMMUNITY MEDICAL GROUP, LLC
Location Address5781 MAIN STSpringfield, OR 97478-5426
Mailing Address5810 Nancy Ridge Dr, 100San Diego, CA 92121-2834
Phone(541) 284-1694
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineDirector Of Operations · (858) 625-2990
Enumeration DateDecember 18, 2008
✔ NPI 1104062371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in OR · MD15590
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
5781 MAIN ST, Springfield, OR 97478
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Other Names 1

Doing Business AsOmg Thurston Medical Group

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAREN POAGUE PT
Physical Therapist
5781 MAIN ST
SPRINGFIELD, OR 97478
Lane County (541) 654-0282
WILLAMETTE COMMUNITY MEDICAL GROUP
Durable Medical Equipment & Medical Supplies
5781 MAIN ST
SPRINGFIELD, OR 97478
Lane County (541) 284-1694
OREGON MEDICAL GROUP AT THURSTON PHYSICAL THERAPY
Physical Therapist
5781 MAIN ST
SPRINGFIELD, OR 97478
Lane County (541) 284-1694
MS. SUSAN E JENSEN PA-C
Physician Assistant
5781 MAIN ST
SPRINGFIELD, OR 97478
Lane County (541) 654-0282
ICCO, LLC
Clinic/Center (Urgent Care)
5781 MAIN ST
SPRINGFIELD, OR 97478
Lane County (541) 636-3473
REBECCA RIVERA FNP
Nurse Practitioner (Family)
5781 MAIN ST
SPRINGFIELD, OR 97478
Lane County (541) 640-7625

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willamette Community Medical Group, LLC's NPI number?

The NPI number for Willamette Community Medical Group, LLC is 1104062371. It was assigned to this organization in the NPPES registry on December 18, 2008. The provider is doing business as Omg Thurston Medical Group.

Where is Willamette Community Medical Group, LLC located?

Willamette Community Medical Group, LLC is located at 5781 Main St, Springfield, OR 97478. The listed phone number is (541) 284-1694.

What is Willamette Community Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Willamette Community Medical Group, LLC was last updated on December 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.