Organization
EUGENE PEDIATRIC ASSOCIATES LLC
Active
Other names
EUGENE PEDIATRIC ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARYANN POTTER (OFFICE MANAGER)
(541) 484-5443
Entity
Organization
Contact information
Practice address
995 WILLAGILLESPIE RD, SUITE 100, EUGENE, OR 97401-2186
(541) 484-5443
(541) 687-5621
Mailing address
995 WILLAGILLESPIE RD, SUITE 100, EUGENE, OR 97401-2186
(541) 484-5443
(541) 687-5621
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD09583
OR
Other
Enumeration date
11/10/2006
Last updated
02/27/2013
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