| Oak Street Medical P.c. | |
|
1488 Oak St Eugene OR 97401-4043 | |
| (541) 683-1577 | |
| (541) 344-6176 |
| Full Name | Oak Street Medical P.c. |
|---|---|
| Speciality | Allergy & Immunology |
| Location | 1488 Oak St, Eugene, Oregon |
| Authorized Official Name and Position | Kraig Warren Jacobson (PHYSICIAN / OWNER) |
| Authorized Official Contact | 5416831577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oak Street Medical P.c. 1488 Oak St Eugene OR 97401-4043 Ph: (541) 683-1577 | Oak Street Medical P.c. 1488 Oak St Eugene OR 97401-4043 Ph: (541) 683-1577 |
| NPI Number | 1144212499 |
|---|---|
| Provider Enumeration Date | 08/22/2005 |
| Last Update Date | 01/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144212499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207K00000X | Allergy & Immunology | (* (Not Available)) | Primary |
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