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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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