| Two Rivers Clinic | |
|
995 Willagillespie, Ste 200a Eugene OR 97401 | |
| (541) 484-4339 | |
| Not Available |
| Full Name | Two Rivers Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 995 Willagillespie, Ste 200a, Eugene, Oregon |
| Authorized Official Name and Position | Jonathan Bruce Stout (OWNER-PHYSICIAN) |
| Authorized Official Contact | 5414844339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Two Rivers Clinic 1941 Potter Street Eugene OR 97401-3059 Ph: (541) 485-9534 | Two Rivers Clinic 995 Willagillespie, Ste 200a Eugene OR 97401 Ph: (541) 484-4339 |
| NPI Number | 1083745038 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083745038 | NPI | - | NPPES |
| 027565 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD15846 (Oregon) | Primary |
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