# MCKENZIE RIVER GYNECOLOGY, LLC

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

## Provider details

- **NPI number:** 1164109906
- **Authorized official:** EMILY DOWNING-MOORE CNM/NP (OWNER)
- **Authorized official phone:** (541) 505-1802

## Contact information

- **Practice address:** 1755 COBURG RD UNIT 503, EUGENE, OR 97401-4900
- **Practice address phone:** (541) 357-8307
- **Mailing address:** PO BOX 512, WALTERVILLE, OR 97489-0512
- **Mailing address phone:** (541) 505-1802
- **Mailing address fax:** (541) 314-9621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LW0102X | Women's Health Nurse Practitioner | — | NULL | — |
| 363LW0102X | Women's Health Nurse Practitioner | — | — | — |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | — | NULL | — |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | — | — | — |
| 367A00000X | Advanced Practice Midwife | — | NULL | Yes |
| 367A00000X | Advanced Practice Midwife | — | — | Yes |

## Other

- **Enumeration date:** 07/03/2023
- **Last updated:** 10/06/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1801865738 | — | OR |