Organization
EQUINOX CLINICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL DOUGLAS KELLY (DMSC PAC)
(206) 418-8222
Entity
Organization
Contact information
Practice address
160 E 18TH AVE, EUGENE, OR 97401-4160
(541) 790-2455
Mailing address
160 E 18TH AVE, EUGENE, OR 97401-4160
(206) 418-8222
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
04/22/2019
Last updated
01/30/2024
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