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SALLY SUZANNE MARIE MD NPI 1184881393


NPI Information

NPI: 1184881393
Provider Name: SALLY SUZANNE MARIE MD

Other Name: SALLY SUZANNE MARIE MD LLC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1755 COBURG RD STE 5
EUGENE, OR
ZIP 97401
Phone: (541) 654-4175
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SALLY SUZANNE MARIE MD is a family medicine in Eugene, OR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SALLY SUZANNE MARIE MD NPI is 1184881393. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Sally Suzanne Marie Md Llc.

The provider's business location address is:

1755 COBURG RD STE 5
EUGENE, OR
ZIP 97401-982
Phone: (541) 654-4175

The provider's authorized official is Sally Suzanne Marie .
The authorized official title is Owner/physician and has the following contact phone number (541) 654-4175.

The enumeration date for this NPI number is 5/16/2008 and was last updated on 11/23/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine14482OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1142976MEDICAIDOREGON
2100040MEDICARE PINOREGON
3C91440MEDICARE UPINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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