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BUSHNELL UNIVERSITY NPI 1487020640


NPI Information

NPI: 1487020640
Provider Name: BUSHNELL UNIVERSITY

Former Legal Business Name: NORTHWEST CHRISTIAN UNIVERSITY

Classification: Pediatrics - 2080S0010X
Entity Type: Organization

Specialization: Sports Medicine

CLIA Number: 38D2215598

Address:
828 E 11TH AVE
EUGENE, OR
ZIP 97401
Phone: (541) 684-7351
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BUSHNELL UNIVERSITY is a sports medicine pediatrics in Eugene, OR. The provider is a pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation. BUSHNELL UNIVERSITY NPI is 1487020640. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Northwest Christian University.

The provider's business location address is:

828 E 11TH AVE
EUGENE, OR
ZIP 97401-745
Phone: (541) 684-7351
Fax: (972) 367-3451

The provider's authorized official is Mouzon Bass .
The authorized official title is Agent and has the following contact phone number (972) 367-4845.

The CLIA number assigned to this NPI record is 38D2215598 - other - college sports medicine with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/11/2015 and was last updated on 8/12/2020.


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
12080S0010XPediatricsSports MedicineYes

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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