| Inkwell Medical Group, Llc | |
|
2911 Tennyson Ave Suite 201 Eugene OR 97408-4693 | |
| (541) 359-7697 | |
| Not Available |
| Full Name | Inkwell Medical Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2911 Tennyson Ave, Eugene, Oregon |
| Authorized Official Name and Position | Catrina Marie Thomas (BUSINESS MANAGER) |
| Authorized Official Contact | 5413597697 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inkwell Medical Group, Llc 2911 Tennyson Ave Suite 201 Eugene OR 97408-4693 Ph: (541) 359-7697 | Inkwell Medical Group, Llc 2911 Tennyson Ave Suite 201 Eugene OR 97408-4693 Ph: (541) 359-7697 |
| NPI Number | 1992935878 |
|---|---|
| Provider Enumeration Date | 07/25/2009 |
| Last Update Date | 07/25/2009 |
| Medicare PECOS PAC ID | 2365580404 |
|---|---|
| Medicare Enrollment ID | O20091111000248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992935878 | NPI | - | NPPES |
| MD24983 | Other | OR | OREGON LICENSE FOR MARTIN HURTADO, MD - OWNER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD24983 (Oregon) | Primary |
| Provider Name | Martin Hurtado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568430304 PECOS PAC ID: 4385635853 Enrollment ID: I20040522000012 |
| Provider Name | Eva R Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245349125 PECOS PAC ID: 6709885874 Enrollment ID: I20070213000504 |
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