Organization
MCKENZIE RIVER GYNECOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY DOWNING-MOORE CNM/NP (OWNER)
(541) 505-1802
Entity
Organization
Contact information
Practice address
1755 COBURG RD UNIT 503, EUGENE, OR 97401-4900
(541) 357-8307
Mailing address
PO BOX 512, WALTERVILLE, OR 97489-0512
(541) 505-1802
(541) 314-9621
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801865738
—
OR
Enumeration date
07/03/2023
Last updated
10/06/2023
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