Two Rivers Clinic

LBN: Two Rivers Clinic
Two Rivers Clinic is an health care organization with primary practice located at 995 Willagillespie, Ste 200A , Eugene OR 97401. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Two Rivers Clinic can be contacted via phone (541) 484-4339, or through Stout, Jonathan Bruce via phone (541) 484-4339.

Contact Information

Primary practice address
995 Willagillespie, Ste 200A Eugene OR 97401
Phone: (541) 484-4339
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stout, Jonathan Bruce Doctor of Medicine (MD)
Phone: (541) 484-4339

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD15846 Oregon

Profile Details

NPI number 1083745038
LBN Legal business name Two Rivers Clinic
DBA Doing business as
Authorized official Stout, Jonathan Bruce Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1083745038 NPPES
Oregon MEDICAID 027565

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