Individual
PRASHANT P VIVEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 S GARDEN WAY, SUITE 300, EUGENE, OR 97401-8176
(541) 334-3370
(541) 334-3372
Mailing address
PO BOX 1648, EUGENE, OR 97440-1648
(541) 334-3370
(541) 334-3372
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD27513
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006392
—
OR
Enumeration date
09/20/2006
Last updated
10/20/2025
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