Tavakolian, Jason

Tavakolian, Jason is an individual health care provider with primary practice located at 55 Coburg Rd , Eugene OR 97401-2433. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Tavakolian, Jason can be contacted via phone (541) 485-8111.

Contact Information

Primary practice address
55 Coburg Rd Eugene OR 97401-2433
Phone: (541) 485-8111
Fax: (541) 342-6379
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X MD25760 Oregon
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD25760 Oregon

Profile Details

NPI number 1144220195
LBN Legal business name Tavakolian, Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Dec 27th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144220195 NPPES
Oregon MEDICAID 023191
Oregon Other P00317978

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