Organization
EMERALD SLEEP DISORDERS CENTER
Active
Organization
EMERALD SLEEP DISORDERS CENTER
Active
Other names
Sleep Disorders and Neurology Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT TEARSE MD (OWNER)
(541) 683-3325
Entity
Organization
Contact information
Practice address
4725 VILLAGE PLAZA LOOP, SUITE 101, EUGENE, OR 97401-6677
(541) 683-3325
(541) 343-4117
Mailing address
4725 VILLAGE PLAZA LOOP, SUITE 101, EUGENE, OR 97401-6677
(541) 683-3325
(541) 343-4117
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R107232
LEGACY PROVIDER #
OR
Enumeration date
08/23/2007
Last updated
08/23/2007
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