OrganizationActive
Wvp Medical Group, LLC
NPI 1164780060 · Primary Care Clinic/Center · Dallas, OR
Provider details
- NPI number
- 1164780060
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Wvp Medical Group
- Organization subpart
- Yes
- Authorized official
- Kathy Deaton, Practice Administrator(503) 623-8376
- License
- DO15134 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
1000 Se Uglow Ave
Dallas, OR 97338-2645
Phone: (503) 623-8376
Street-level locationGet directions
Mailing address
2995 Ryan Dr Se Ste 200
Salem, OR 97301-5157
Other names (DBA / former)
- Doing business as
- Wvp Flaming Medical Center
Registry dates
- Enumerated
- 2012-04-27
- Last updated
- 2018-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.