# OREGON MEDICAL GROUP, PC

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

## Provider details

- **NPI number:** 1417905860
- **Authorized official:** CRIS NOAH (CFO)
- **Authorized official phone:** (541) 687-4900

## Contact information

- **Practice address:** 1580 VALLEY RIVER DR, SUITE 210, EUGENE, OR 97401-2116
- **Practice address phone:** (541) 687-4900
- **Practice address fax:** (541) 687-4904
- **Mailing address:** PO BOX 1648, EUGENE, OR 97440-1648
- **Mailing address phone:** (541) 687-4900
- **Mailing address fax:** (541) 687-4904

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 12/27/2007