Organization
TRANSFORM HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY MATTHEW PHILLIPS M.D. (MEDICAL DIRECTOR)
(458) 205-1903
Entity
Organization
Contact information
Practice address
1200 EXECUTIVE PKWY STE 260, EUGENE, OR 97401-2199
(503) 754-6743
Mailing address
8995 SW MILEY RD, WILSONVILLE, OR 97070-5484
(503) 754-6743
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033319124
—
OR
Enumeration date
10/08/2019
Last updated
10/08/2019
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