WILLAMETTE VALLEY MEDICAL CENTER LLC
NPI 1124579479
Dietitian, Registered in Mcminnville, OR

Active since October 21, 2016CLIA Certified · 3 labs
2700 SE STRATUS AVE, MCMINNVILLE, OR 97128(503) 435-6320(503) 472-8691 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 27, 2022, Dec 30, 2016, Oct 21, 2016 (3 updates tracked since 2016).

About Willamette Valley Medical Center Llc NPPES

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

WILLAMETTE VALLEY MEDICAL CENTER LLC (NPI 1124579479) is a healthcare organization registered as a dietitian, registered in Mcminnville, Oregon and active in the NPI registry since October 2016. The organization holds 3 active CLIA laboratory certificates and lists Terrance Dillon, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1124579479
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameWILLAMETTE VALLEY MEDICAL CENTER LLC
Location Address2700 SE STRATUS AVEMcminnville, OR 97128-6255
Mailing Address103 Continental Pl, Ste 200Brentwood, TN 37027-1041 · (615) 844-9800 · Fax (615) 844-9883
Fax(503) 472-8691
Organization SubpartNo
Authorized OfficialTerrance DillonAssistant Secretary · (502) 596-7220
Enumeration DateOctober 21, 2016
Last NPPES UpdateApril 27, 20223 updates tracked since enumeration
NPPES CertifiedApril 27, 2022
NPI 1124579479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
2700 SE STRATUS AVE, Mcminnville, OR 97128

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 38D0669425

Willamette Valley Medical Center · Mcminnville, OR
Active · expires Dec 31, 2027
CLIA Number38D0669425
Laboratory TypeHospital
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorDr. Elizabeth Dacey
Laboratory Phone(503) 435-6491
Laboratory LocationWillamette Valley Medical Center2700 SE Stratus Ave, Mcminnville, OR 97128
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 38D0709358

Willamette Valley Medical Center LLC · Mcminnville, OR
Active · expires Dec 31, 2027
CLIA Number38D0709358
Laboratory TypeHospital
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorElizabeth Dacey
Laboratory Phone(503) 435-6491
Laboratory LocationWillamette Valley Medical Center LLC2700 SE Stratus Ave, Mcminnville, OR 97128
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 38D1047420

Willamette Valley Medical Center Frozen · Mcminnville, OR
Active · expires Dec 27, 2027
CLIA Number38D1047420
Laboratory TypeHospital
Certificate Effective DateDecember 28, 2025
Certificate Expiration DateDecember 27, 2027
Laboratory DirectorElizabeth B. Dacey
Laboratory Phone(503) 435-6491
Laboratory LocationWillamette Valley Medical Center Frozen2700 SE Stratus Ave, Mcminnville, OR 97128
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

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

Radiology (Diagnostic Radiology)
2700 SE STRATUS AVE
MCMINNVILLE, OR 97128
Dietitian, Registered
2700 SE STRATUS AVE
MCMINNVILLE, OR 97128
Internal Medicine (Gastroenterology)
2700 SE STRATUS AVE, SUITE 304
MCMINNVILLE, OR 97128
Radiology (Radiation Oncology)
2700 SE STRATUS AVE
MCMINNVILLE, OR 97128
Internal Medicine
2700 SE STRATUS AVE, WILLAMETTE VALLEY HOSPITALISTS
MCMINNVILLE, OR 97128
Emergency Medicine
2700 SE STRATUS AVE
MCMINNVILLE, OR 97128
Orthopaedic Surgery (Sports Medicine)
2700 SE STRATUS AVE, SUITE 303
MCMINNVILLE, OR 97128
Emergency Medicine
2700 SE STRATUS AVE
MCMINNVILLE, OR 97128

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 Valley Medical Center LLC's NPI number?

The NPI number for Willamette Valley Medical Center LLC is 1124579479. It was assigned to this organization in the NPPES registry on October 21, 2016.

Where is Willamette Valley Medical Center LLC located?

Willamette Valley Medical Center LLC is located at 2700 SE Stratus Ave, Mcminnville, OR 97128. The listed phone number is (503) 435-6320.

What is Willamette Valley Medical Center LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Does Willamette Valley Medical Center LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Willamette Valley Medical Center LLC was last updated on April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.