MEDICARE: VIRGINIA VILLEGAS SANMIGUEL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	MD25567	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356387252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIRGINIA VILLEGAS SANMIGUEL M.D.

Provider Business Mailing Address
First Line	:	21810 WILLAMETTE DR
Second Line	:
City	:	WEST LINN
State	:	OR
Zip	:	97068-3256
Country	:	US
Telephone Number	:	503-656-6603
Fax Number	:	503-557-8012

Provider Business Practice Location Address
First Line	:	21810 WILLAMETTE DR
Second Line	:
City	:	WEST LINN
State	:	OR
Zip	:	97068-3256
Country	:	US
Telephone Number	:	503-656-6603
Fax Number	:	503-557-8012

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	06/19/2011

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Directions to “ VIRGINIA VILLEGAS SANMIGUEL M.D.” Practice Location

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