Organization
OREGON UNIVERSITY SYSTEM
Active
Other names
University Health Center PTSM
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON MILLINGTON PT (PHYSICAL THERAPIST, MANAGER)
(541) 346-2726
Entity
Organization
Contact information
Practice address
1232 UNIVERSITY OF OREGON, EUGENE, OR 97403-1205
(541) 346-4401
(541) 346-2747
Mailing address
1232 UNIVERSITY OF OREGON, EUGENE, OR 97403-1205
(541) 346-4401
(541) 346-2747
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
390200000
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110148
—
OR
01
—
1467570077
PARENT ORGANIZATION NPI
OR
Enumeration date
04/17/2012
Last updated
04/17/2012
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