Prohealth Family Medicine

NPI 1255604690 - Family Medicine - 207Q00000X

NPI Details
NPI 1255604690
Enumeration Date 02/15/2012
Last Updated 02/15/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name JUSTIN JUSTIN
Position OWNER
Phone (541) 228-3270
Fax (541) 228-3272
Practice Location
1410 OAK ST
SUITE 102
EUGENE OR, 97401-4604, US
Phone (541) 228-3270
Fax (541) 228-3272
Business Location
1410 OAK ST
SUITE 102
EUGENE OR, 97401-4604, US
Phone (541) 228-3270
Fax (541) 228-3272
Toxanomy
Taxonomy Code 207Q00000X
License State Oregon
License Number MD23786
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According to our database, Prohealth Family Medicine NPI is 1255604690, taxonomy code is 207Q00000X and license number is MD23786, license state is located at Oregon. Prohealth Family Medicine physically located at 1410 Oak St, Eugene OR, 97401-4604. NPI Number 1033115704 has the healthcare provider type.

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1255604690 NPI number is provided on an as is basis without warranty of any kind. 1255604690 is maintained by the National Plan & Provider Enumeration System. The contents of Prohealth Family Medicine are for informational purposes only.