1. Home
  2. Directory
  3. Oregon
  4. Dallas
  5. Specialist
  6. NPI Profile

WILLAMETTE UROLOGY PC
NPI 1215221205
Specialist in Dallas, OR

Active since June 07, 2011
591 SE CLAY ST, DALLAS, OR 97338(503) 561-7100(503) 561-7124 Get Directions Write a Review

NPPES record last updated: June 7, 2011. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Willamette Urology Pc NPPES

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

WILLAMETTE UROLOGY PC (NPI 1215221205) is a healthcare organization registered as a specialist in Dallas, Oregon and active in the NPI registry since June 2011. The organization lists Bryce Carman, Administrator, as its authorized official.

NPPES Registry Identity

NPI1215221205
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameWILLAMETTE UROLOGY PC
Location Address591 SE CLAY STDallas, OR 97338-2812
Mailing Address875 Oak St Se, Suite 5030Salem, OR 97301-3975 · (503) 561-7100 · Fax (503) 561-7124
Phone(503) 561-7100
Fax(503) 561-7124
Organization SubpartNo
Authorized OfficialBryce CarmanAdministrator · (503) 561-7112
Enumeration DateJune 7, 2011
✔ NPI 1215221205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OR · 01954353
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
591 SE CLAY ST, Dallas, OR 97338
Open in Google Maps ↗

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

WILLAMETTE ORTHOPEDIC GROUP, LLC
Orthopaedic Surgery
591 SE CLAY ST
DALLAS, OR 97338
Polk County (503) 540-6300

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 Urology PC's NPI number?

The NPI number for Willamette Urology PC is 1215221205. It was assigned to this organization in the NPPES registry on June 7, 2011.

Where is Willamette Urology PC located?

Willamette Urology PC is located at 591 SE Clay St, Dallas, OR 97338. The listed phone number is (503) 561-7100.

What is Willamette Urology PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Willamette Urology PC was last updated on June 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.