Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Willamette Community Medical Group, LLC

Organization Non-Pharmacy Dispensing Site · NPI 1104062371

Willamette Community Medical Group, LLC is a Non-Pharmacy Dispensing Site in Springfield, Oregon. Licensed in Oregon. Registered with an NPI since 2008.

Licensed in
OR
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5781 Main St
Springfield, OR 97478-5426
Phone: (541) 284-1694
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence MD15590 (OR)

Record details

NPI number1104062371
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Director Of Operations · (858) 625-2990
Other names Omg Thurston Medical Group
NPI enumeratedDecember 18, 2008
Last updated in NPPESDecember 18, 2008
Mailing address5810 Nancy Ridge Dr, 100, San Diego, CA 92121-2834

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