| River Road Medical Group | |
|
890 River Rd Eugene OR 97404-3233 | |
| (541) 688-0674 | |
| (541) 688-5378 |
| Full Name | River Road Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 890 River Rd, Eugene, Oregon |
| Authorized Official Name and Position | Patricia P Buchanan (PRESIDENT) |
| Authorized Official Contact | 5416880674 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| River Road Medical Group 890 River Rd Eugene OR 97404-3233 Ph: (541) 688-0674 | River Road Medical Group 890 River Rd Eugene OR 97404-3233 Ph: (541) 688-0674 |
| NPI Number | 1083651814 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 04/22/2015 |
| Medicare PECOS PAC ID | 7810971397 |
|---|---|
| Medicare Enrollment ID | O20040614000875 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083651814 | NPI | - | NPPES |
| 227012 | Medicaid | OR | |
| 058869000 | Other | OR | BLUE CROSS BLUE SHIELD |
| CC7608 | Other | OR | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Oregon) | Primary |
| Provider Name | Patricia Perkins Buchanan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487768859 PECOS PAC ID: 1951344738 Enrollment ID: I20111114000328 |
| Provider Name | David R Kobliska |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386651560 PECOS PAC ID: 5294795266 Enrollment ID: I20201008002526 |
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