Organization
SLOCUM ORTHOPEDICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN BAUMAN (CHIEF ADMINISTRATOR)
(541) 485-8111
Entity
Organization
Contact information
Practice address
55 COBURG RD, EUGENE, OR 97401
(541) 485-8111
(541) 868-0883
Mailing address
55 COBURG RD, EUGENE, OR 97401-2433
(541) 485-8111
(541) 868-0883
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
—
OR
207X00000X
Orthopaedic Surgery Physician
Primary
—
OR
213E00000X
Podiatrist
—
OR
2251X0800X
Orthopedic Physical Therapist
—
OR
363AS0400X
Surgical Physician Assistant
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141903
—
OR
01
—
CE0921
MC RAILROAD
OR
Enumeration date
07/29/2005
Last updated
07/21/2022
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