| Oregon Medical Group | |
|
1580 Valley River Dr Suite 210 Eugene OR 97401-2116 | |
| (541) 687-4900 | |
| (541) 687-4904 |
| Full Name | Oregon Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 1580 Valley River Dr, Eugene, Oregon |
| Authorized Official Name and Position | Brenda A Sheter (MANAGER BILLING & SUPPORT SERVICES) |
| Authorized Official Contact | 5416874900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oregon Medical Group Po Box 1648 Eugene OR 97440-1648 Ph: (541) 687-4900 | Oregon Medical Group 1580 Valley River Dr Suite 210 Eugene OR 97401-2116 Ph: (541) 687-4900 |
| NPI Number | 1982907572 |
|---|---|
| Provider Enumeration Date | 12/21/2010 |
| Last Update Date | 11/20/2014 |
| Medicare PECOS PAC ID | 4486835477 |
|---|---|
| Medicare Enrollment ID | O20110223001220 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982907572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Kirsten B Gram |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1891719928 PECOS PAC ID: 8426961657 Enrollment ID: I20031112000461 |
| Provider Name | Lonnie L Smucker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548293087 PECOS PAC ID: 2062326614 Enrollment ID: I20031118000170 |
| Provider Name | David B Standifer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922081876 PECOS PAC ID: 9537060819 Enrollment ID: I20040119000778 |
| Provider Name | Marc Garant |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285614909 PECOS PAC ID: 2466354758 Enrollment ID: I20040126000942 |
| Provider Name | Sarah H Schram |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932187564 PECOS PAC ID: 3072597608 Enrollment ID: I20040614000384 |
| Provider Name | Anita A Geisler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588634323 PECOS PAC ID: 9133102056 Enrollment ID: I20040614000468 |
| Provider Name | Shadi Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346228830 PECOS PAC ID: 8820074727 Enrollment ID: I20040629001185 |
| Provider Name | Michelle T Wyatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699713412 PECOS PAC ID: 2961489620 Enrollment ID: I20040701000513 |
| Provider Name | John R Ford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396749859 PECOS PAC ID: 4880673789 Enrollment ID: I20040715000109 |
| Provider Name | Sharon H Flynn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184694812 PECOS PAC ID: 3779563606 Enrollment ID: I20040722000009 |
| Provider Name | Karl A Saxman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174501001 PECOS PAC ID: 7315927993 Enrollment ID: I20040723000422 |
| Provider Name | William D Tom |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1265410799 PECOS PAC ID: 1052383809 Enrollment ID: I20040811000860 |
| Provider Name | Abigail Dowd |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104800507 PECOS PAC ID: 6901859081 Enrollment ID: I20050301000547 |
| Provider Name | David Dowd |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629052576 PECOS PAC ID: 5991744286 Enrollment ID: I20050426001338 |
| Provider Name | Clyde E Byfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174503601 PECOS PAC ID: 0042251639 Enrollment ID: I20050513000121 |
| Provider Name | Jean A Edsall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073591574 PECOS PAC ID: 6406874494 Enrollment ID: I20051108000831 |
| Provider Name | Hyungki H Choi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497719165 PECOS PAC ID: 2668480260 Enrollment ID: I20060323000335 |
| Provider Name | Stacy R Chance |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356399190 PECOS PAC ID: 4486659927 Enrollment ID: I20060915000447 |
| Provider Name | Melanie Konradi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184657728 PECOS PAC ID: 7214933753 Enrollment ID: I20061006000030 |
| Provider Name | James M Kassube |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1720005382 PECOS PAC ID: 3173521986 Enrollment ID: I20061109000537 |
| Provider Name | Bonita C Pollack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891765962 PECOS PAC ID: 0042210437 Enrollment ID: I20070109000287 |
| Provider Name | Michael J Milstein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780657981 PECOS PAC ID: 0345240768 Enrollment ID: I20070109000576 |
| Provider Name | William R Balsom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427028448 PECOS PAC ID: 0749382562 Enrollment ID: I20070226000554 |
| Provider Name | Laura R Sanderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972581593 PECOS PAC ID: 7911001466 Enrollment ID: I20070322000583 |
| Provider Name | Gary E Brandt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871571703 PECOS PAC ID: 2264536606 Enrollment ID: I20070326000013 |
| Provider Name | Karen Weiner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114997111 PECOS PAC ID: 3971607334 Enrollment ID: I20070326000115 |
| Provider Name | Michael E Garfinkel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659341626 PECOS PAC ID: 3779687090 Enrollment ID: I20070327000212 |
| Provider Name | Sylvia A Emory |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881664803 PECOS PAC ID: 7315041647 Enrollment ID: I20070327000221 |
| Provider Name | Steven E Koester |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336119494 PECOS PAC ID: 0042314262 Enrollment ID: I20070328000355 |
| Provider Name | Rolanda R Everett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700856606 PECOS PAC ID: 3173627114 Enrollment ID: I20070330000113 |
| Provider Name | Michael A Diehl |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508836503 PECOS PAC ID: 5496859423 Enrollment ID: I20070402000326 |
| Provider Name | Stephan M Schepergerdes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023088184 PECOS PAC ID: 5991809923 Enrollment ID: I20070402000360 |
| Provider Name | Richard H Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174501761 PECOS PAC ID: 5597860544 Enrollment ID: I20070419000277 |
| Provider Name | Scott H Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093785149 PECOS PAC ID: 5597860577 Enrollment ID: I20070419000557 |
| Provider Name | Susan L Urben |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316925829 PECOS PAC ID: 0547365538 Enrollment ID: I20070419000615 |
| Provider Name | Clayton W Young |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215907050 PECOS PAC ID: 5698871317 Enrollment ID: I20070426000138 |
| Provider Name | Amy Mccarthy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154309748 PECOS PAC ID: 0345346490 Enrollment ID: I20070507000055 |
| Provider Name | Michelle J Taube |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407834336 PECOS PAC ID: 0547368714 Enrollment ID: I20070612000333 |
| Provider Name | Donna M Byrne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043290570 PECOS PAC ID: 5991806044 Enrollment ID: I20070719000692 |
| Provider Name | Deona L Bridgeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306842919 PECOS PAC ID: 0547352809 Enrollment ID: I20070816000752 |
| Provider Name | Cynthia J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003036757 PECOS PAC ID: 4880787795 Enrollment ID: I20070910000228 |
| Provider Name | Geoffrey J Gill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144361098 PECOS PAC ID: 3476646118 Enrollment ID: I20070911000425 |
| Provider Name | Katherine Crenwelge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447477823 PECOS PAC ID: 4981797636 Enrollment ID: I20070911000569 |
| Provider Name | Prashant P Vivek |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1164520870 PECOS PAC ID: 0648200865 Enrollment ID: I20070912000118 |
| Provider Name | Amy T Clifton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730383167 PECOS PAC ID: 8224122569 Enrollment ID: I20070918000452 |
| Provider Name | Alec I Fedorov |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467401554 PECOS PAC ID: 1153415153 Enrollment ID: I20070921000294 |
| Provider Name | Susan M Vockert-burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245419399 PECOS PAC ID: 4486743218 Enrollment ID: I20071203000099 |
| Provider Name | Harold Perez Gil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265641393 PECOS PAC ID: 2567538523 Enrollment ID: I20080828000065 |
| Provider Name | Diane M Kimball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083603575 PECOS PAC ID: 6406923770 Enrollment ID: I20080929000382 |
| Provider Name | Katria L Mertz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043351992 PECOS PAC ID: 3779641261 Enrollment ID: I20081028000487 |
| Provider Name | John R Nielsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508186669 PECOS PAC ID: 8123152485 Enrollment ID: I20100823000487 |
| Provider Name | Anne N Skinner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528124120 PECOS PAC ID: 1557466729 Enrollment ID: I20101110000641 |
| Provider Name | Craig Adam Lash |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235128471 PECOS PAC ID: 8426065327 Enrollment ID: I20110107000176 |
| Provider Name | Darrin L Dallegge |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1740335728 PECOS PAC ID: 7113824236 Enrollment ID: I20110310000859 |
| Provider Name | Carolyn Elain Buel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508905951 PECOS PAC ID: 4183809510 Enrollment ID: I20110429000352 |
| Provider Name | Amanda C Nielsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528355765 PECOS PAC ID: 6709056583 Enrollment ID: I20110906000191 |
| Provider Name | William A Hinz |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1538345145 PECOS PAC ID: 8325210545 Enrollment ID: I20111012000747 |
| Provider Name | Jessica Leigh Versage |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144453143 PECOS PAC ID: 7315104296 Enrollment ID: I20120203000572 |
| Provider Name | Trisha K Kosloff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982962700 PECOS PAC ID: 6800052697 Enrollment ID: I20120723000921 |
| Provider Name | Laura J Hurn |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1073873857 PECOS PAC ID: 0446406581 Enrollment ID: I20120806000823 |
| Provider Name | Donald Q Mackay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447487178 PECOS PAC ID: 7719140078 Enrollment ID: I20120927000848 |
| Provider Name | Naiman A Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063640266 PECOS PAC ID: 8820247000 Enrollment ID: I20121003000358 |
| Provider Name | Eric E Colgrove |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881674869 PECOS PAC ID: 8820187438 Enrollment ID: I20130617000404 |
| Provider Name | Marissa L Simard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972784486 PECOS PAC ID: 0345401733 Enrollment ID: I20130805000903 |
| Provider Name | Tracy E Hardwick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659380566 PECOS PAC ID: 4082894613 Enrollment ID: I20130807000770 |
| Provider Name | Desmond T Tee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174834832 PECOS PAC ID: 2567606056 Enrollment ID: I20130924000370 |
| Provider Name | Becky J Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629067756 PECOS PAC ID: 0941434286 Enrollment ID: I20130927000720 |
| Provider Name | Hannah Michelle Fine |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1528231636 PECOS PAC ID: 8729258231 Enrollment ID: I20131113000999 |
| Provider Name | Denise Abbott |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1952730384 PECOS PAC ID: 3678701471 Enrollment ID: I20140123001456 |
| Provider Name | William Brus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427007632 PECOS PAC ID: 2567567555 Enrollment ID: I20140322000104 |
| Provider Name | Melissa Noble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629109335 PECOS PAC ID: 8628010766 Enrollment ID: I20140402000333 |
| Provider Name | Carrie F Meadowcroft |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639430887 PECOS PAC ID: 6901029644 Enrollment ID: I20140527000433 |
| Provider Name | Luke William O Rourke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336463108 PECOS PAC ID: 1052536810 Enrollment ID: I20140710002150 |
| Provider Name | Nancy A Brus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952412702 PECOS PAC ID: 1052411030 Enrollment ID: I20140811000416 |
| Provider Name | Vipul T Lakhani |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1336150804 PECOS PAC ID: 3072557255 Enrollment ID: I20140912002115 |
| Provider Name | Kaylene M Meyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275505398 PECOS PAC ID: 3678590825 Enrollment ID: I20141217002613 |
| Provider Name | Samuel G Cornell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659616555 PECOS PAC ID: 8224281530 Enrollment ID: I20150527001971 |
| Provider Name | Matthew Tommack |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063645570 PECOS PAC ID: 8224349048 Enrollment ID: I20150622000334 |
| Provider Name | Amandajo Sanders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932462686 PECOS PAC ID: 6507170149 Enrollment ID: I20150727002817 |
| Provider Name | Tracy Beckmann |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093196438 PECOS PAC ID: 7214241926 Enrollment ID: I20150807014373 |
| Provider Name | Leah C Conchieri |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225413263 PECOS PAC ID: 6406161694 Enrollment ID: I20150818003379 |
| Provider Name | Adam J Fagan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649654609 PECOS PAC ID: 6709191505 Enrollment ID: I20150821013508 |
| Provider Name | Steven D Aguilu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851397830 PECOS PAC ID: 4385774686 Enrollment ID: I20150902000164 |
| Provider Name | Janet K Dear |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306943196 PECOS PAC ID: 5799742185 Enrollment ID: I20150908001846 |
| Provider Name | Elisabeth N Lawler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457616039 PECOS PAC ID: 3375769474 Enrollment ID: I20150925002633 |
| Provider Name | Julie Ann A Galinato |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477816908 PECOS PAC ID: 8224347208 Enrollment ID: I20151013001525 |
| Provider Name | Ian M Horner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902245756 PECOS PAC ID: 2264676154 Enrollment ID: I20151021003179 |
| Provider Name | Jessica L Ellis |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1245270222 PECOS PAC ID: 8527079524 Enrollment ID: I20151103000703 |
| Provider Name | Jennifer L Randall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104291160 PECOS PAC ID: 3678871084 Enrollment ID: I20160419001729 |
| Provider Name | Matthew M Dooley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558656199 PECOS PAC ID: 7012237829 Enrollment ID: I20160616001597 |
| Provider Name | Thomas D Strini |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1811346034 PECOS PAC ID: 2567753403 Enrollment ID: I20160623000582 |
| Provider Name | Madelaine M Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073961074 PECOS PAC ID: 8729371117 Enrollment ID: I20160722000326 |
| Provider Name | Dane H Dougherty |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1518251370 PECOS PAC ID: 2163715467 Enrollment ID: I20160725001508 |
| Provider Name | Anna T Dooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265710537 PECOS PAC ID: 4981871373 Enrollment ID: I20160819002047 |
| Provider Name | Pamela J Versage |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548634934 PECOS PAC ID: 7911288329 Enrollment ID: I20161223000092 |
| Provider Name | Ronald Wang-ho Kwong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609129022 PECOS PAC ID: 0648551432 Enrollment ID: I20170110003029 |
| Provider Name | Megan Barckert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649348160 PECOS PAC ID: 5193008977 Enrollment ID: I20170202001315 |
| Provider Name | David A Holte |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689112625 PECOS PAC ID: 0244513182 Enrollment ID: I20170220001188 |
| Provider Name | Shugi Zheng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578714861 PECOS PAC ID: 1355480013 Enrollment ID: I20170227001992 |
| Provider Name | Jonathan D Arnold |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700325164 PECOS PAC ID: 4981989894 Enrollment ID: I20170315002343 |
| Provider Name | Jeffrey Bonezzi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942733837 PECOS PAC ID: 2769769843 Enrollment ID: I20170426002702 |
| Provider Name | Elizabeth L Dhungana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780135939 PECOS PAC ID: 0143507582 Enrollment ID: I20170511002437 |
| Provider Name | Jodi L Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760764658 PECOS PAC ID: 1951561430 Enrollment ID: I20170613001579 |
| Provider Name | Nancy J Maloney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083705479 PECOS PAC ID: 9638352966 Enrollment ID: I20170621001146 |
| Provider Name | Tanya Marie Garbett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528420726 PECOS PAC ID: 3678842069 Enrollment ID: I20170628000575 |
| Provider Name | Laura E Labonte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497168991 PECOS PAC ID: 0042431330 Enrollment ID: I20170717002852 |
| Provider Name | Anna Lobzova Saifi |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1336549179 PECOS PAC ID: 9436422052 Enrollment ID: I20170901002569 |
| Provider Name | Shelli L Flynn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629481734 PECOS PAC ID: 1951606821 Enrollment ID: I20170926003437 |
| Provider Name | Stephanie Nicole D'andrea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497125884 PECOS PAC ID: 0941589691 Enrollment ID: I20171227001565 |
| Provider Name | Katherine Schweitzer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518202894 PECOS PAC ID: 4385962216 Enrollment ID: I20180322001178 |
| Provider Name | Lisa M Heap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932640331 PECOS PAC ID: 7416203161 Enrollment ID: I20180710003748 |
| Provider Name | Makambo Tshionyi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659782985 PECOS PAC ID: 7719277532 Enrollment ID: I20180725003738 |
| Provider Name | Steven M Douthett |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1821402157 PECOS PAC ID: 1850669797 Enrollment ID: I20180801003347 |
| Provider Name | Nicole K Biltz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851890701 PECOS PAC ID: 0547505877 Enrollment ID: I20181214001165 |
| Provider Name | Michaela Cioffredi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073082673 PECOS PAC ID: 4880930049 Enrollment ID: I20190108003445 |
| Provider Name | Kelly Mcconnell |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1851706303 PECOS PAC ID: 8123348182 Enrollment ID: I20190114000771 |
| Provider Name | Petra Kuhfahl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184719684 PECOS PAC ID: 6800839994 Enrollment ID: I20190304000913 |
| Provider Name | Nathan W Scadlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235571936 PECOS PAC ID: 3375779622 Enrollment ID: I20190320000969 |
| Provider Name | Megan Lynn Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912075060 PECOS PAC ID: 8325360019 Enrollment ID: I20190619001983 |
| Provider Name | Sean D Wilging |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588224406 PECOS PAC ID: 8426384850 Enrollment ID: I20190723003507 |
| Provider Name | Yien Chiong |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1205068012 PECOS PAC ID: 2769628254 Enrollment ID: I20190820001121 |
| Provider Name | William E Wilkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023085503 PECOS PAC ID: 7517869225 Enrollment ID: I20190823001788 |
| Provider Name | Sara Elizabeth Green |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346882925 PECOS PAC ID: 9133552417 Enrollment ID: I20191126002438 |
| Provider Name | Jacob D Gelrod |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922657824 PECOS PAC ID: 3072946045 Enrollment ID: I20191204002978 |
| Provider Name | Amanda J Kamery |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1851788400 PECOS PAC ID: 4385070739 Enrollment ID: I20200204001501 |
| Provider Name | Kelsey Margaret Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992337042 PECOS PAC ID: 8426486002 Enrollment ID: I20200313000265 |
| Provider Name | Rachel Louise Burch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225660764 PECOS PAC ID: 8921436544 Enrollment ID: I20200313001801 |
| Provider Name | Naomi Grace Light |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528454311 PECOS PAC ID: 7113275728 Enrollment ID: I20200403002474 |
| Provider Name | Christal Vanessa Crooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366975559 PECOS PAC ID: 9638590045 Enrollment ID: I20200610000943 |
| Provider Name | Linda Lee Walby |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1245213396 PECOS PAC ID: 1658364591 Enrollment ID: I20200714001034 |
| Provider Name | Rie Takahashi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1528476322 PECOS PAC ID: 1951724632 Enrollment ID: I20200714001607 |
| Provider Name | Natalie E Kudlak |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1437512712 PECOS PAC ID: 1759671456 Enrollment ID: I20200715000040 |
| Provider Name | Samuel Jackson Balin |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1518254481 PECOS PAC ID: 3870863319 Enrollment ID: I20200721001294 |
| Provider Name | Kristin M Finch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073124517 PECOS PAC ID: 7810314952 Enrollment ID: I20200903000781 |
| Provider Name | Cassandra C Elizondo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467919704 PECOS PAC ID: 8628496288 Enrollment ID: I20200914001305 |
| Provider Name | Justin Ebmeyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982216206 PECOS PAC ID: 0648698092 Enrollment ID: I20200916001790 |
| Provider Name | Soojung Samantha Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558718262 PECOS PAC ID: 9638467251 Enrollment ID: I20200916003202 |
| Provider Name | Steven J Dobson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891332821 PECOS PAC ID: 6406274885 Enrollment ID: I20200916003283 |
| Provider Name | John Calvin Lundeen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093162711 PECOS PAC ID: 0749569044 Enrollment ID: I20200928000241 |
| Provider Name | Justin David Hudson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063822583 PECOS PAC ID: 9032404512 Enrollment ID: I20201014002003 |
| Provider Name | Dominick Amandus Post |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225645898 PECOS PAC ID: 1850711649 Enrollment ID: I20201016000518 |
| Provider Name | William Richard Haake |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356831184 PECOS PAC ID: 4082965736 Enrollment ID: I20201112001211 |
| Provider Name | Laura Gregg |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1134289390 PECOS PAC ID: 0042234445 Enrollment ID: I20210118000351 |
| Provider Name | Thomas Lewis Kincheloe |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1962908004 PECOS PAC ID: 5294134912 Enrollment ID: I20210616002975 |
| Provider Name | Justin John Bucci |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1508285099 PECOS PAC ID: 3870717283 Enrollment ID: I20210714001679 |
| Provider Name | Kelly Marie Fairchild |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760913222 PECOS PAC ID: 5991059412 Enrollment ID: I20210727000844 |
| Provider Name | Bradley Lynn Stoker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306283056 PECOS PAC ID: 2365745965 Enrollment ID: I20210923001593 |
| Provider Name | Cameron R Metzler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962170159 PECOS PAC ID: 3173911393 Enrollment ID: I20211020002663 |
| Provider Name | Jerome John Lux |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417629684 PECOS PAC ID: 0840688206 Enrollment ID: I20211104000497 |
| Provider Name | Jackson B Demler |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1528590619 PECOS PAC ID: 3476943697 Enrollment ID: I20211202001286 |
| Provider Name | James Scott Rankin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023453156 PECOS PAC ID: 5890047856 Enrollment ID: I20220323000038 |
| Provider Name | Randy Scott Parkhurst |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598920118 PECOS PAC ID: 6608990056 Enrollment ID: I20220325000394 |
| Provider Name | Ann Holly Cecil Cannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124769823 PECOS PAC ID: 3678950466 Enrollment ID: I20220517001287 |
| Provider Name | Zachary Brooks |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215420625 PECOS PAC ID: 6507244647 Enrollment ID: I20220602000790 |
| Provider Name | Brooke Kathleen Matteo |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1386385839 PECOS PAC ID: 0042699738 Enrollment ID: I20220627002834 |
| Provider Name | Adina H Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063150704 PECOS PAC ID: 1355722968 Enrollment ID: I20220713003397 |
| Provider Name | Elizabeth Anne Fronek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700373719 PECOS PAC ID: 7517215601 Enrollment ID: I20220715000079 |
| Provider Name | Jennifer J Goodrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588221642 PECOS PAC ID: 5092112367 Enrollment ID: I20220727000898 |
| Provider Name | Tory L Toles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922568443 PECOS PAC ID: 3779901350 Enrollment ID: I20220727001809 |
| Provider Name | Grace C Grogman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194220103 PECOS PAC ID: 9638427057 Enrollment ID: I20220728001796 |
| Provider Name | Meagan Kristine Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649520313 PECOS PAC ID: 7113334277 Enrollment ID: I20220801000829 |
| Provider Name | Faith Dieleman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942860994 PECOS PAC ID: 1658778568 Enrollment ID: I20220830003880 |
| Provider Name | Kavita Krishnakant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659937266 PECOS PAC ID: 9436533502 Enrollment ID: I20220908003515 |
| Provider Name | Genevieve Marie Birang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659830735 PECOS PAC ID: 6204211204 Enrollment ID: I20220912001927 |
| Provider Name | Colleen Mcelhenny |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801184049 PECOS PAC ID: 3779755806 Enrollment ID: I20221006003353 |
| Provider Name | Taylor Lynn Carman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912629940 PECOS PAC ID: 5890171219 Enrollment ID: I20221007000717 |
| Provider Name | Michaela Jo Hauer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306577796 PECOS PAC ID: 3870974728 Enrollment ID: I20221011001345 |
| Provider Name | Celia W Mclay |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1619915550 PECOS PAC ID: 7719923598 Enrollment ID: I20221013002406 |
| Provider Name | Callie Ann Albers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265138531 PECOS PAC ID: 7012380041 Enrollment ID: I20230222001501 |
| Provider Name | Marlissa Lauren House |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215652706 PECOS PAC ID: 9931572765 Enrollment ID: I20230227001112 |
| Provider Name | Ian Randle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083310346 PECOS PAC ID: 4981078037 Enrollment ID: I20230313002602 |
| Provider Name | Austin T Stueve |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730758442 PECOS PAC ID: 4981091865 Enrollment ID: I20230613002141 |
| Provider Name | Irena G Mattingly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457040818 PECOS PAC ID: 9830558006 Enrollment ID: I20230706001063 |
| Provider Name | Jaclyn S Keefer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265007744 PECOS PAC ID: 8224431853 Enrollment ID: I20230710002852 |
| Provider Name | Anne Phuong Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649775800 PECOS PAC ID: 4486076114 Enrollment ID: I20230801004410 |
| Provider Name | Paul Lentz |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1538455977 PECOS PAC ID: 9931422078 Enrollment ID: I20230802004208 |
| Provider Name | Samantha Perry Fry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235704537 PECOS PAC ID: 9739580804 Enrollment ID: I20230807000030 |
| Provider Name | Elizabeth D Morrison |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1740223304 PECOS PAC ID: 1153691159 Enrollment ID: I20230816003805 |
| Provider Name | Kaitlin Alyse Geck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134689318 PECOS PAC ID: 2567795321 Enrollment ID: I20230818003139 |
| Provider Name | Afsaneh Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962286237 PECOS PAC ID: 3476908856 Enrollment ID: I20231005001747 |
| Provider Name | Amelia W Huntsberger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184887036 PECOS PAC ID: 9830342583 Enrollment ID: I20231006003287 |
| Provider Name | Jacqueline Renee Renee Vaneecke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083806145 PECOS PAC ID: 6709262066 Enrollment ID: I20231228002691 |
| Provider Name | Jacqueline W Mbugua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568149672 PECOS PAC ID: 0547606055 Enrollment ID: I20240306003953 |
Bello Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2746 Shadow View Dr, Eugene, OR 97408 Phone: 541-345-0551 Fax: 541-465-3831 | |
Healing Spirit Integrative Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1355 Oak St Ste 100, Eugene, OR 97401 Phone: 541-683-1125 Fax: 541-683-2049 | |
David A. Bove, Nd Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1161 Lincoln St, Eugene, OR 97401 Phone: 541-683-2126 | |
Scarborough Medical Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1180 Patterson St Ste 2-b, Eugene, OR 97401 Phone: 541-687-6508 | |
Chiropractic Pain & Prevention Center P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1902 Jefferson St, Ste 1, Eugene, OR 97405 Phone: 541-687-2772 Fax: 888-857-2772 | |
Columbiacare Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 71 Centennial Loop Ste A, Eugene, OR 97401 Phone: 541-858-8170 Fax: 541-858-8167 | |
Delta Speech And Language Pathology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1956 Harvard Dr, Eugene, OR 97405 Phone: 406-210-5954 |