Two Rivers Clinic in Eugene - Family Medicine

Two Rivers Clinic - NPI 1083745038

Two Rivers Clinic is a Family Medicine in Eugene, Oregon. Two Rivers Clinic practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Two Rivers Clinic is 1083745038. The last update date is 2020-08-22.

Two Rivers Clinic's current location address is 1941 Potter Street, Eugene, Oregon. You can contact this provider via phone number 5414859534. The mailing address for Two Rivers Clinic is 1941 Potter Street, Eugene, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization Two Rivers Clinic
Address 1941 Potter Street, Eugene, Oregon
Phone Number 5414859534
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER-PHYS
Authorized Official Name Stout Bruce Jonathan
Credentials M.D.
Telephone Number 5414844339

NPI Number Detail

NPI Number 1083745038
Provider Enumeration Date 2007-03-08
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1941 Potter Street
City Eugene
State Oregon (OR)
Post Code 974013059
Phone Number 5414859534
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No MD15846
Definition:
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 i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
27565 OR --

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FAQs about Two Rivers Clinic

What is the unique 10-digit identification code assigned to Two Rivers Clinic by the Centers for Medicare & Medicaid Services?

The Two Rivers Clinic has been issued the NPI (National Provider Identifier) 1083745038, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Two Rivers Clinic?

The Two Rivers Clinic is situated at 1941 Potter Street, in the city of Eugene, state of OR, with the zip code 974013059.

What is Two Rivers Clinic's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Two Rivers Clinic is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1083745038 to Two Rivers Clinic?

The Two Rivers Clinic received its 1083745038 assignment from the Centers for Medicare & Medicaid Services on 2007-03-08.

As of what date were the details related to Two Rivers Clinic most recently updated or revised?

The information pertaining to Two Rivers Clinic, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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