Organization
PEACEHEALTH
Active
Organization
PEACEHEALTH
Active
Other names
Peace Harbor Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD L YECNY (CEO)
(541) 902-6540
Entity
Organization
Contact information
Practice address
380 9TH ST, FLORENCE, OR 97439-9470
(541) 997-7134
(541) 902-7533
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451
(541) 902-6140
(541) 902-7533
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
140711
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055322
—
OR
Enumeration date
11/09/2006
Last updated
04/08/2013
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