Organization
OREGON MEDICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRIS NOAH (CFO)
(541) 687-4900
Entity
Organization
Contact information
Practice address
1580 VALLEY RIVER DR, SUITE 210, EUGENE, OR 97401-2116
(541) 687-4900
(541) 687-4904
Mailing address
PO BOX 1648, EUGENE, OR 97440-1648
(541) 687-4900
(541) 687-4904
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055111
—
OR
Enumeration date
05/05/2006
Last updated
12/27/2007
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