Organization
EUGENE PEDIATRIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYANN POTTER (CREDENTIALING SPECIALIST)
(541) 246-9106
Entity
Organization
Contact information
Practice address
995 WILLAGILLESPIE RD, SUITE 100, EUGENE, OR 97401-2186
(541) 246-9106
(541) 343-7360
Mailing address
995 WILLAGILLESPIE RD, SUITE 100, EUGENE, OR 97401-2186
(541) 246-9106
(541) 343-7360
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
OR
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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