# THURSTON MEDICAL CLINIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1407897895
- **Authorized official:** ERIC L GEISLER MD (OWNER/SEC/TREAS)
- **Authorized official phone:** (541) 746-1166

## Contact information

- **Practice address:** 147 S 52ND PLACE, SPRINGFIELD, OR 97478-6210
- **Practice address phone:** (541) 393-1601
- **Practice address fax:** (541) 393-1603
- **Mailing address:** 147 S 52ND PLACE, SPRINGFIELD, OR 97478-6210
- **Mailing address phone:** (541) 393-1601
- **Mailing address fax:** (541) 393-1603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/09/2006
- **Last updated:** 01/21/2015