Organization
HALE MEN'S CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIAN M FERRY M.D. (PRESIDENT)
(541) 228-3660
Entity
Organization
Contact information
Practice address
1410 OAK ST, SUITE 101, EUGENE, OR 97401-4604
(541) 228-3660
(541) 228-3670
Mailing address
1410 OAK ST, SUITE 101, EUGENE, OR 97401-4604
(541) 228-3660
(541) 228-3670
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123027690
OREGON REGISTRY
OR
Enumeration date
07/06/2016
Last updated
07/06/2016
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