| Victor B Richenstein Md Pc | |
|
66 Club Rd Ste 210 Eugene OR 97401-2420 | |
| (541) 343-2569 | |
| (541) 343-0058 |
| Full Name | Victor B Richenstein Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 66 Club Rd Ste 210, Eugene, Oregon |
| Authorized Official Name and Position | Victor B Richenstein (OWNER) |
| Authorized Official Contact | 5413432569 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Victor B Richenstein Md Pc 66 Club Rd Ste 210 Eugene OR 97401-2420 Ph: (541) 343-2569 | Victor B Richenstein Md Pc 66 Club Rd Ste 210 Eugene OR 97401-2420 Ph: (541) 343-2569 |
| NPI Number | 1629375308 |
|---|---|
| Provider Enumeration Date | 02/16/2011 |
| Last Update Date | 02/16/2011 |
| Medicare PECOS PAC ID | 5799962791 |
|---|---|
| Medicare Enrollment ID | O20110531000239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629375308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Victor B Richenstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205811502 PECOS PAC ID: 1951495357 Enrollment ID: I20070917000089 |
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