# SPINE SURGERY CENTER OF EUGENE, LLC

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

## Provider details

- **NPI number:** 1992999775
- **Authorized official:** P EVALYN COLE MHSA, CASC (CEO/ADMINISTRATOR)
- **Authorized official phone:** (541) 228-3666

## Contact information

- **Practice address:** 1410 OAK ST, SUITE 300, EUGENE, OR 97401-4604
- **Practice address phone:** (541) 228-3666
- **Practice address fax:** (541) 228-3667
- **Mailing address:** 1410 OAK ST, SUITE 300, EUGENE, OR 97401-4604
- **Mailing address phone:** (541) 228-3666
- **Mailing address fax:** (541) 228-3667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | OR | Yes |

## Other

- **Enumeration date:** 09/05/2007
- **Last updated:** 09/05/2007