| Q Street Internists Llc | |
|
1180 Patterson St 3-b Eugene OR 97401-3619 | |
| (541) 726-4110 | |
| (541) 726-4929 |
| Full Name | Q Street Internists Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1180 Patterson St, Eugene, Oregon |
| Authorized Official Name and Position | Magha Sirmevan Dissanayaka (OWNER) |
| Authorized Official Contact | 5417264110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Q Street Internists Llc 1180 Patterson St 3-b Eugene OR 97401-3619 Ph: (541) 726-4110 | Q Street Internists Llc 1180 Patterson St 3-b Eugene OR 97401-3619 Ph: (541) 726-4110 |
| NPI Number | 1740483270 |
|---|---|
| Provider Enumeration Date | 06/11/2007 |
| Last Update Date | 05/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740483270 | NPI | - | NPPES |
| 287570 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD21258 (Oregon) | Primary |
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