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HALE2 MEN'S CLINIC LLC NPI 1730695032


NPI Information

NPI: 1730695032
Provider Name: HALE2 MEN'S CLINIC, LLC

Doing Business As: HALE MEN'S CLINIC, LLC

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
1410 OAK ST STE 101
EUGENE, OR
ZIP 97401
Phone: (541) 228-3660
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HALE2 MEN'S CLINIC, LLC is a medical specialty clinic center in Eugene, OR. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). HALE2 MEN'S CLINIC, LLC NPI is 1730695032. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Hale Men's Clinic, Llc.

The provider's business location address is:

1410 OAK ST STE 101
EUGENE, OR
ZIP 97401-668
Phone: (541) 228-3660
Fax: (541) 228-3266

The provider's authorized official is Kristian Martin Ferry .
The authorized official title is Owner and has the following contact phone number (541) 228-3660.

The enumeration date for this NPI number is 12/21/2017 and was last updated on 12/21/2017.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerNP201401588OREGONNo
2261QM2500XClinic/CenterMedical SpecialtyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19978OTHEREFTPS
2621399OTHEROREGONNAICS CODE

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: 5/5/2024

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