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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Wvp Medical Group, LLC

Primary Care Clinic/Center in Dallas, OR · enumerated 2012 · authorized official Kathy Deaton, Practice Administrator.

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

National Provider Identifier

1164780060

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Wvp Medical Group, LLC
Other name <Unavail>
Parent organization Wvp Medical Group
Practice address 1000 Se Uglow Ave, Dallas, OR, 97338
Phone (503) 623-8376
Enumeration date Apr 27, 2012
Last updated in NPPES Apr 17, 2018

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities · License DO10396 (OR) Primary
261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities · License DO15134 (OR) Secondary
261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities · License PA153023 (OR) Secondary
261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities · License PA00266 (OR) Secondary

Authorized official

Name Kathy Deaton
Title Practice Administrator
Phone (503) 623-8376

Other identifiers

Identifier Type State Issuer
288533 Medicaid OR -

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

What is the NPI number for Wvp Medical Group, LLC?
The NPI for Wvp Medical Group, LLC is 1164780060, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Wvp Medical Group, LLC?
NPPES lists Kathy Deaton (Practice Administrator) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-04-17.