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Willamette Community Medical Group, LLC

Non-Pharmacy Dispensing Site in Springfield, OR · enumerated 2008 · authorized official Kenny Heine, Director of Operations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104062371

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Registry record

Entity type Organization (Type 2)
Legal business name Willamette Community Medical Group, LLC
Other name <Unavail>
Parent organization Medvantx, Inc.
Practice address 5781 Main St, Springfield, OR, 97478
Phone (541) 284-1694
Enumeration date Dec 18, 2008
Last updated in NPPES Dec 18, 2008

Taxonomy & classification

332900000X Non-Pharmacy Dispensing Site Suppliers · License MD15590 (OR) Primary

Authorized official

Name Kenny Heine
Title Director of Operations
Phone (858) 625-2990

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-12-18. Verify at npiregistry.cms.hhs.gov.
Where is Willamette Community Medical Group, LLC located?
The practice location on file with NPPES is in Springfield, OR.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-12-18.