Organization
RIVER ROAD MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA P BUCHANAN MD (PRESIDENT)
(541) 688-0674
Entity
Organization
Contact information
Practice address
890 RIVER RD, EUGENE, OR 97404-3233
(541) 688-0674
(541) 688-5378
Mailing address
890 RIVER RD, EUGENE, OR 97404-3233
(541) 688-0674
(541) 688-5378
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058869000
BLUE CROSS BLUE SHIELD
OR
05
—
227012
—
OR
01
—
CC7608
RAILROAD MEDICARE
OR
Enumeration date
06/01/2006
Last updated
04/22/2015
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