1. Home
  2. Directory
  3. Oregon
  4. Salem
  5. Clinic Center
  6. NPI Profile

WVP MEDICAL GROUP, LLC
NPI 1124352877
Clinic/Center - Primary Care in Salem, OR

Active since September 29, 2009
2485 12TH ST SE, SALEM, OR 97302(503) 363-8047(503) 363-6571 Get Directions Write a Review

NPPES record last updated: April 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wvp Medical Group, Llc NPPES

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

WVP MEDICAL GROUP, LLC (NPI 1124352877) is a healthcare organization registered as a primary care in Salem, Oregon and active in the NPI registry since September 2009. The organization maintains a secondary practice location in Salem and lists Dean G. Andretta, Cfo, as its authorized official.

NPPES Registry Identity

NPI1124352877
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameWVP MEDICAL GROUP, LLC
Location Address2485 12TH ST SESalem, OR 97302-2151
Mailing Address2995 Ryan Dr Se, Ste. 200Salem, OR 97301-5157 · (503) 371-7701
Phone(503) 363-8047
Fax(503) 363-6571
Organization SubpartYesParent: Mid Valley Ipa Inc. (wvp Health Authority)
Authorized OfficialDean G. AndrettaCfo · (503) 371-7701
Enumeration DateSeptember 29, 2009
Last NPPES UpdateApril 19, 2018
✔ NPI 1124352877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedFamily Medicine · Obesity MedicineTaxonomy 207QB0002X
2485 12TH ST SE, Salem, OR 97302
Open in Google Maps ↗

Secondary Practice Location 1

Location 12525 12th St SE, Ste 260Salem, OR 97302-2153 · Phone (503) 363-6520 · Fax (503) 967-1472

Other Identifiers 2

OtherR151720OR · Ptan
Medicaid288533OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 18

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

DR. CHRISTINE WUNG PSYD
Psychologist (Clinical)
2485 12TH ST SE, WVP BOULDER CREEK
SALEM, OR 97302
Marion County (503) 967-1411
DR. THOMAS T PATTERSON MD
Neurological Surgery
2485 12TH ST SE
SALEM, OR 97302
Marion County (503) 399-1386
BLAKE MCCONNELL MD
Family Medicine
2485 12TH ST SE
SALEM, OR 97302
Marion County (503) 363-8047
CHRISTINE KIMBERLEE ADAMS PA-C
Physician Assistant (Surgical)
2485 12TH ST SE
SALEM, OR 97302
Marion County (503) 399-1386
MAURICE COLLADA JR. M.D.
Neurological Surgery
2485 12TH ST SE
SALEM, OR 97302
Marion County (503) 399-1386
MICHAEL NANASZKO M.D.
Neurological Surgery
2485 12TH ST SE
SALEM, OR 97302
Marion County (503) 399-1386
MARGARET ELLEN AYERS-JOHNSON PA
Physician Assistant
2485 12TH ST SE
SALEM, OR 97302
Marion County (503) 363-8047
JENNIFER M NICKELL FNP
Nurse Practitioner (Family)
2485 12TH ST SE
SALEM, OR 97302
Marion County (503) 363-8047

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 Wvp Medical Group, LLC's NPI number?

The NPI number for Wvp Medical Group, LLC is 1124352877. It was assigned to this organization in the NPPES registry on September 29, 2009.

Where is Wvp Medical Group, LLC located?

Wvp Medical Group, LLC is located at 2485 12th St SE, Salem, OR 97302. The listed phone number is (503) 363-8047.

What is Wvp Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

What insurance does Wvp Medical Group, LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Wvp Medical Group, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wvp Medical Group, LLC was last updated on April 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.