| Quillin Family Medicine | |
|
909 Lawrence St Eugene OR 97401-2815 | |
| (541) 342-4660 | |
| (541) 344-5127 |
| Full Name | Quillin Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 909 Lawrence St, Eugene, Oregon |
| Authorized Official Name and Position | Elizabeth P Quillin (OWNER/PHYSICIAN) |
| Authorized Official Contact | 5413424660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quillin Family Medicine 909 Lawrence St Eugene OR 97401-2815 Ph: (541) 342-4660 | Quillin Family Medicine 909 Lawrence St Eugene OR 97401-2815 Ph: (541) 342-4660 |
| NPI Number | 1174795769 |
|---|---|
| Provider Enumeration Date | 03/24/2008 |
| Last Update Date | 05/04/2011 |
| Medicare PECOS PAC ID | 7719933092 |
|---|---|
| Medicare Enrollment ID | O20050330000207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174795769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD19388 (Oregon) | Primary |
| Provider Name | Elizabeth P Quillin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750391264 PECOS PAC ID: 1153377445 Enrollment ID: I20050331001291 |
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