| Marr Medical | |
|
884 River Rd Eugene OR 97404-3233 | |
| (541) 636-3522 | |
| Not Available |
| Full Name | Marr Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 884 River Rd, Eugene, Oregon |
| Authorized Official Name and Position | Brian Marr (DIRECTOR) |
| Authorized Official Contact | 5416363522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marr Medical 1600 Valley River Dr Ste 210 Eugene OR 97401-2155 Ph: () - | Marr Medical 884 River Rd Eugene OR 97404-3233 Ph: (541) 636-3522 |
| NPI Number | 1205533908 |
|---|---|
| Provider Enumeration Date | 02/13/2023 |
| Last Update Date | 02/13/2023 |
| Medicare PECOS PAC ID | 2062877210 |
|---|---|
| Medicare Enrollment ID | O20230424001384 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205533908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Primary |
| Provider Name | Pavel Conovalciuc |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720017080 PECOS PAC ID: 4587673504 Enrollment ID: I20230315001883 |
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