Organization
OREGON RETINA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN H HAINES M.D. (OWNER)
(541) 683-2020
Entity
Organization
Contact information
Practice address
1550 OAK ST, SUITE #4, EUGENE, OR 97401-7701
(541) 762-2763
Mailing address
1550 OAK ST, SUITE #4, EUGENE, OR 97401-7701
(541) 762-2763
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD20042
OR
Other
Enumeration date
10/27/2009
Last updated
10/27/2009
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