Provider Demographics
NPI:1184649303
Name:MORGAN, DONNA M (MD)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:M
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1125 DARLENE LN
Mailing Address - Street 2:SUITE 200
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-1601
Mailing Address - Country:US
Mailing Address - Phone:541-844-1807
Mailing Address - Fax:541-844-1681
Practice Address - Street 1:1125 DARLENE LN
Practice Address - Street 2:SUITE 200
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-1601
Practice Address - Country:US
Practice Address - Phone:541-844-1807
Practice Address - Fax:541-844-1681
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OR23890208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR286337Medicaid
OR006439005OtherREGENCE BCBSO
R114327Medicare PIN
H74304Medicare UPIN
OR006439005OtherREGENCE BCBSO