WILLAMETTE VASCULAR SPECIALISTS, PC
NPI 1225351901
Surgery - Vascular Surgery in Salem, OR

Q: What is Willamette Vascular Specialists, PC's NPI number?

The NPI number for Willamette Vascular Specialists, PC is 1225351901. It was assigned to this organization in the NPPES registry on March 9, 2010.

Q: What is Willamette Vascular Specialists, PC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Active since March 09, 2010

1015 25TH ST SE, SALEM, OR 97301(503) 561-7227(503) 561-7272 Get Directions Write a Review

NPPES record last updated: March 8, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Willamette Vascular Specialists, Pc NPPES

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

WILLAMETTE VASCULAR SPECIALISTS, PC (NPI 1225351901) is a healthcare organization registered as a vascular surgery in Salem, Oregon and active in the NPI registry since March 2010. The organization lists Mark S Peterson, Owner, as its authorized official.

NPPES Registry Identity

NPI1225351901

Entity TypeOrganization

Primary Taxonomy2086S0129X

Legal Business NameWILLAMETTE VASCULAR SPECIALISTS, PC

Location Address1015 25TH ST SESalem, OR 97301

Mailing AddressPo Box 12707Salem, OR 97309-0707 · (503) 561-7227 · Fax (503) 561-7272

Phone(503) 561-7227

Fax(503) 561-7272

Organization SubpartNo

Authorized OfficialMark S PetersonOwner · (503) 561-7227

Enumeration DateMarch 9, 2010

Last NPPES UpdateMarch 8, 2011

✔ NPI 1225351901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in OR · MD16135

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

1015 25TH ST SE, Salem, OR 97301

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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 2

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

LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.

Physical Medicine & Rehabilitation (Pain Medicine)

1015 25TH ST SE
SALEM, OR 97301

Marion County (503) 477-8645

SHANNON ALFONSO DNP, FNP-C

Nurse Practitioner (Family)

1015 25TH ST SE
SALEM, OR 97301

Marion County (971) 930-4318

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 Vascular Specialists, PC's NPI number?

The NPI number for Willamette Vascular Specialists, PC is 1225351901. It was assigned to this organization in the NPPES registry on March 9, 2010.

Where is Willamette Vascular Specialists, PC located?

Willamette Vascular Specialists, PC is located at 1015 25th St SE, Salem, OR 97301. The listed phone number is (503) 561-7227.

What is Willamette Vascular Specialists, PC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Willamette Vascular Specialists, PC was last updated on March 8, 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.