OrganizationActive
Wvp Medical Group, LLC
NPI 1124352877 · Primary Care Clinic/Center · Salem, OR
Provider details
- NPI number
- 1124352877
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Mid Valley Ipa Inc. (wvp Health Authority)
- Organization subpart
- Yes
- Authorized official
- Dean Andretta, Cfo(503) 371-7701
Specialties & taxonomies
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2485 12th St Se
Salem, OR 97302-2151
Phone: (503) 363-8047
Fax: (503) 363-6571
Street-level locationGet directions
Mailing address
2995 Ryan Dr Se
Salem, OR 97301-5157
Additional practice locations (1)
- 2525 12th St Se, Ste 260Salem, OR 97302-2153Phone: (503) 363-6520Fax: (503) 967-1472
Registry dates
- Enumerated
- 2009-09-29
- Last updated
- 2018-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.