NPI 1043373434

Oregon Tlc, LLC

Organisation Physical Medicine & Rehabilitation Physician Eugene, OR

Practice location

Address: 132 E Broadway Suite 716, Eugene, OR 97401-3143
Phone: (817) 284-9850
Fax: (817) 284-3505

Authorised official

Name: Roy M. Blackburn
Title: President
Phone: (817) 284-9850

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence MD22132 (OR)

Other Physical Medicine & Rehabilitation providers in Oregon →

Registry record

NPI: 1043373434
Entity type: Organization
NPI issued: 18 Dec 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.