Mckenzie River Gynecology, Llc

LBN: Mckenzie River Gynecology, Llc
Mckenzie River Gynecology, Llc is an health care organization with primary practice located at 1755 Coburg Rd Unit 503 , Eugene OR 97401-4900. The organization recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is the primary health care specialty. Mckenzie River Gynecology, Llc can be contacted via phone (541) 357-8307, or through Downing-Moore, Emily via phone (541) 505-1802.

Contact Information

Primary practice address
1755 Coburg Rd Unit 503 Eugene OR 97401-4900
Phone: (541) 357-8307
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Downing-Moore, Emily CNM/NP
Phone: (541) 505-1802

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X

Profile Details

NPI number 1164109906
LBN Legal business name Mckenzie River Gynecology, Llc
DBA Doing business as
Authorized official Downing-Moore, Emily CNM/NP
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2023
Last updated Oct 6th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164109906 NPPES
Oregon MEDICAID 1801865738

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