REESE FAMILY PRACTICE PC NPI 1619345501

NPI Information

REESE FAMILY PRACTICE PC is a specialist in Eugene, OR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. REESE FAMILY PRACTICE PC NPI is 1619345501. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1755 COBURG RD
BLDG 6B
EUGENE, OR
ZIP 97401-982
Phone: (541) 255-3905
Fax: (541) 357-5527

The provider's authorized official is Rik Larson .
The authorized official title is Prctice Administrator and has the following contact phone number (541) 255-3905.

The CLIA number assigned to this NPI record is 38D2098577 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/9/2015 and was last updated on 10/2/2015.

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:

Other Identifiers

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

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