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Organization

PEACEHEALTH MEDICAL GROUP

Active
Parent organization
PEACEHEALTH MEDICAL GROUP
Other names
PeaceHealth Medical Group Santa Clara
Organization subpart
Yes

Provider details

NPI number
Legal business name
PEACEHEALTH MEDICAL GROUP
Authorized official
MICHAEL CHARLES METCALF (CHIEF EXECUTIVE PHMG)
(360) 729-1743
Entity
Organization

Contact information

Practice address
2484 RIVER RD, EUGENE, OR 97404-2042
(541) 222-7615
(541) 222-7676
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1462
(360) 729-3104

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
04/04/2019
Last updated
04/04/2019
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