Organization
OREGON UROLOGY INSTITUTE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN A MEHLHAFF MD (EXECUTIVE MEMBER)
(541) 334-3350
Entity
Organization
Contact information
Practice address
2400 HARTMAN LN STE 200, SPRINGFIELD, OR 97477-1122
(541) 334-3350
(541) 284-5198
Mailing address
2400 HARTMAN LN STE 200, SPRINGFIELD, OR 97477-1122
(541) 334-3350
(541) 284-5198
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
07/14/2006
Last updated
09/28/2022
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