Sally Suzanne Marie Md Llc

LBN: Sally Suzanne Marie Md
Sally Suzanne Marie Md Llc is an health care organization with primary practice located at 1755 Coburg Rd Ste 5 , Eugene OR 97401-4982. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Sally Suzanne Marie Md can be contacted via phone (541) 654-4175, or through Marie, Sally Suzanne via phone (541) 654-4175.

Contact Information

Primary practice address
1755 Coburg Rd Ste 5 Eugene OR 97401-4982
Phone: (541) 654-4175
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Marie, Sally Suzanne Doctor of Medicine (MD)
Phone: (541) 654-4175

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 14482 Oregon

Profile Details

NPI number 1184881393
LBN Legal business name Sally Suzanne Marie Md
DBA Doing business as Sally Suzanne Marie Md Llc
Authorized official Marie, Sally Suzanne Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2008
Last updated Nov 23rd, 2011 - about 13 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 1184881393 NPPES
Oregon MEDICAID 142976

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