Organization
INKWELL MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY DEVEREUX (CLINIC MANAGER)
(541) 844-1495
Entity
Organization
Contact information
Practice address
2911 TENNYSON AVE, SUITE 201, EUGENE, OR 97408-4693
(541) 359-7697
Mailing address
2911 TENNYSON AVE, SUITE 201, EUGENE, OR 97408-4693
(541) 359-7697
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD24983
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD24983
OREGON LICENSE FOR MARTIN HURTADO, MD - OWNER
OR
Enumeration date
07/25/2009
Last updated
10/08/2025
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