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Organization

LANE COMMUNITY COLLEGE HEALTH CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA K GREENE FNP (CLINIC DIRECTOR)
(541) 463-5665
Entity
Organization

Contact information

Practice address
4000 E 30TH AVE, EUGENE, OR 97405
(541) 463-5665
(541) 463-4164
Mailing address
4000 E 30TH AVE, EUGENE, OR 97405
(541) 463-5665
(541) 463-4164

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
261QS1000X
Student Health Clinic/Center
Primary
080046349RN
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080046349RN
REGISTERED NURSE LICENSE
OR
Enumeration date
04/13/2007
Last updated
12/14/2016
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