Peacehealth Medical Group

LBN: Peacehealth Medical Group
Peacehealth Medical Group is an health care organization with primary practice located at 1200 Hilyard St , Eugene OR 97401-8122. The organization recently has 15 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Dietary & Nutritional Service Providers / Dietitian, Registered, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Surgery, Ambulatory Health Care Facilities / Multi-Specialty, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Peacehealth Medical Group can be contacted via phone (541) 687-6217, or through Kettler, Lori via phone (360) 729-1411.

Contact Information

Primary practice address
1200 Hilyard St Eugene OR 97401-8122
Phone: (541) 687-6217
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kettler, Lori
Phone: (360) 729-1411

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Oregon
Behavioral Health & Social Service Providers / Psychologist 103T00000X Oregon
Behavioral Health & Social Service Providers / Social Worker 104100000X Oregon
Behavioral Health & Social Service Providers / Clinical 1041C0700X Oregon
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X Oregon
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X Oregon
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Oregon
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Oregon
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Oklahoma
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X Oregon
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X Oregon
Allopathic & Osteopathic Physicians / Surgery 208600000X Oregon
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X Oregon
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X Oregon

Profile Details

NPI number 1447207287
LBN Legal business name Peacehealth Medical Group
DBA Doing business as
Authorized official Kettler, Lori
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2006
Last updated Apr 4th, 2017 - about 8 years ago

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 1447207287 NPPES
Oregon MEDICAID 071634

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