WVP MEDICAL GROUP- BOULDER CREEK
NPI 1831504968
Clinic/Center in Salem, OR

Q: What is Wvp Medical Group, LLC's NPI number?

The NPI number for Wvp Medical Group, LLC is 1831504968. It was assigned to this organization in the NPPES registry on June 27, 2014. The provider is doing business as Wvp Medical Group- Boulder Creek.

Q: What is Wvp Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since June 27, 2014

2485 12TH ST. SE, SALEM, OR 97302(503) 363-8047(503) 363-6571 Get Directions Write a Review

NPPES record last updated: June 27, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Wvp Medical Group- Boulder Creek NPPES

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

WVP MEDICAL GROUP- BOULDER CREEK (NPI 1831504968) is a healthcare organization registered as a clinic/center in Salem, Oregon and active in the NPI registry since June 2014. The organization lists Dean Andretta, Cfo, as its authorized official.

NPPES Registry Identity

NPI1831504968

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameWVP MEDICAL GROUP, LLC

Location Address2485 12TH ST. SESalem, OR 97302-0000

Mailing Address2485 12th St. SeSalem, OR 97302-0000

Phone(503) 363-8047

Fax(503) 363-6571

Organization SubpartYesParent: Mid Valley Ipa, Inc

Authorized OfficialDean AndrettaCfo · (503) 371-7701

Enumeration DateJune 27, 2014

✔ NPI 1831504968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2485 12TH ST. SE, Salem, OR 97302

Open in Google Maps ↗

Other Names 1

Doing Business AsWvp Medical Group- Boulder Creek

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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 1831504968. It was assigned to this organization in the NPPES registry on June 27, 2014. The provider is doing business as Wvp Medical Group- Boulder Creek.

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 with taxonomy code 261Q00000X.

What insurance does Wvp Medical Group, LLC accept?

Health plans from Providence Health Plan 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 June 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.