=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881108918
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VVRX PHARMACY BILLING SOLUTIONS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/28/2017
-----------------------------------------------------
Last Update Date | 04/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1969 WILLAMETTE FALLS DR STE 203
-----------------------------------------------------
City | WEST LINN
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97068-4659
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 503-563-6878
-----------------------------------------------------
Fax | 503-387-5797
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1969 WILLAMETTE FALLS DR STE 203
-----------------------------------------------------
City | WEST LINN
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97068-4659
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 503-563-6878
-----------------------------------------------------
Fax | 503-387-5797
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER
-----------------------------------------------------
Name | LOUIS C TAYLOR
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 503-348-6298
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207X00000X
-----------------------------------------------------
Taxonomy Name | Orthopaedic Surgery Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------