| Oregon Medical Group, PC | |
|
1580 Valley River Dr Suite 210 Eugene OR 97401-2116 | |
| (541) 687-4900 | |
| (541) 687-4904 |
| Full Name | Oregon Medical Group, PC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1580 Valley River Dr, Eugene, Oregon |
| Authorized Official Name and Position | Cris Noah (CFO) |
| Authorized Official Contact | 5416874900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oregon Medical Group, PC Po Box 1648 Eugene OR 97440-1648 Ph: (541) 687-4900 | Oregon Medical Group, PC 1580 Valley River Dr Suite 210 Eugene OR 97401-2116 Ph: (541) 687-4900 |
| NPI Number | 1417905860 |
|---|---|
| Provider Enumeration Date | 05/05/2006 |
| Last Update Date | 12/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417905860 | NPI | - | NPPES |
| 0055111 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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