NPI 1174871552

Oregon Tlc

Organisation Pain Medicine (Physical Medicine & Rehabilitation) Physician Eugene, OR

Practice location

Address: 132 E Broadway Suite 716, Eugene, OR 97401-3143
Phone: (541) 255-1213

Authorised official

Name: Jelena Blackburn
Title: Vice President
Phone: (541) 255-1213

Registered specialties

Pain Medicine (Physical Medicine & Rehabilitation) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2081P2900X Licence 22132 (OR)

Other Physical Medicine & Rehabilitation providers in Oregon →

Registry record

NPI: 1174871552
Entity type: Organization
NPI issued: 16 Aug 2012
Record last updated: 16 Aug 2012

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.