# TWO RIVERS CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083745038
- **Authorized official:** DR. JONATHAN BRUCE STOUT M.D. (OWNER-PHYSICIAN)
- **Authorized official phone:** (541) 484-4339

## Contact information

- **Practice address:** 995 WILLAGILLESPIE, STE 200A, EUGENE, OR 97401
- **Practice address phone:** (541) 484-4339
- **Mailing address:** 1941 POTTER STREET, EUGENE, OR 97401-3059
- **Mailing address phone:** (541) 485-9534

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD15846 | OR | Yes |

## Other

- **Enumeration date:** 03/08/2007
- **Last updated:** 08/22/2020