Provider Demographics
NPI:1437855301
Name:OREGON HEALTHCARE RESOURCES LLC
Entity Type:Organization
Organization Name:OREGON HEALTHCARE RESOURCES LLC
Other - Org Name:OREGON MEDICAL GROUP- DAVIES MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CODING & REIMBURSEMENT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHETER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-242-4054
Mailing Address - Street 1:PO BOX 1648
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97440-1648
Mailing Address - Country:US
Mailing Address - Phone:541-242-4384
Mailing Address - Fax:541-463-2820
Practice Address - Street 1:345 N GRANT ST
Practice Address - Street 2:
Practice Address - City:CANBY
Practice Address - State:OR
Practice Address - Zip Code:97013-3610
Practice Address - Country:US
Practice Address - Phone:503-266-2066
Practice Address - Fax:503-263-8719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-02
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty