Willamette Community Medical Group, Llc
Non-pharmacy Dispensing Site
5781 Main St, Springfield
Oregon, 97478-5426
541-284-1694 Willamette Community Medical Group, Llc is a Non-pharmacy Dispensing Site in Springfield, Oregon. This organization is also known as sub part of Medvantx, Inc.. It is located at 5781 Main St, Springfield and it's customer support contact number is 541-284-1694. The authorized person of Willamette Community Medical Group, Llc is Kenny Heine who is Director Of Operations of the pharmacy and his contact number is 858-625-2990. Active license number of Willamette Community Medical Group, Llc is MD15590 for Non-pharmacy Dispensing Site in Oregon.
Willamette Community Medical Group, Llc is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Willamette Community Medical Group, Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Willamette Community Medical Group, Llc |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 5781 Main St, Springfield,
Oregon, 97478-5426 |
| Phone: | 541-284-1694 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Kenny Heine |
| Position: | Director Of Operations |
| Contact Number: | 858-625-2990 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1104062371 |
| Parent Organization: | Medvantx, Inc. |
| NPI Enumeration Date: | 18 Dec, 2008 |
| NPI Last Update On: | 18 Dec, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Willamette Community Medical Group, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | MD15590 | Oregon | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5810 Nancy Ridge Dr, 100
San Diego, California |
| Zip: | 92121-2834 |
| Phone Number: | -- |
Patients can reach Willamette Community Medical Group, Llc at
5781 Main St, Springfield, Oregon or can
call on customer care at 541-284-1694.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.