Organization
PEACEHEALTH MEDICAL GROUP
Active
Parent organization
PEACEHEALTH MEDICAL GROUP
Other names
Woodfield Station
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEACEHEALTH MEDICAL GROUP
Authorized official
MICHAEL CHARLES METCALF (CHIEF EXECUTIVE PHMG)
(360) 729-1743
Entity
Organization
Contact information
Practice address
2846 WILLAMETTE ST, EUGENE, OR 97405-8200
(541) 222-6565
(541) 222-6567
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1462
(360) 729-3104
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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