# INSTITUTE FOR PHYSICAL WELLNESS AND INDEPENDENCE

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

## Provider details

- **NPI number:** 1467411082
- **Authorized official:** MR. ROY M BLACKBURN MD (PRESIDENT)
- **Authorized official phone:** (541) 344-8469

## Contact information

- **Practice address:** 2401 RIVER RD, STE 101, EUGENE, OR 97404
- **Practice address phone:** (541) 344-8469
- **Practice address fax:** (541) 687-8631
- **Mailing address:** PO BOX 849095, DALLAS, TX 75284-9095
- **Mailing address phone:** (541) 344-8469
- **Mailing address fax:** (541) 687-8631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/22/2006
- **Last updated:** 08/22/2020