Organization
INSTITUTE FOR PHYSICAL WELLNESS AND INDEPENDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROY M BLACKBURN MD (PRESIDENT)
(541) 344-8469
Entity
Organization
Contact information
Practice address
2401 RIVER RD, STE 101, EUGENE, OR 97404
(541) 344-8469
(541) 687-8631
Mailing address
PO BOX 849095, DALLAS, TX 75284-9095
(541) 344-8469
(541) 687-8631
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
03/22/2006
Last updated
08/22/2020
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