Provider Demographics
NPI:1184090904
Name:HOSPITALISTS OF OREGON
Entity type:Organization
Organization Name:HOSPITALISTS OF OREGON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MHD TAREK
Authorized Official - Middle Name:
Authorized Official - Last Name:NASHAWI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:541-514-5658
Mailing Address - Street 1:1796 PROVINCIAL WAY
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-6994
Mailing Address - Country:US
Mailing Address - Phone:541-514-5658
Mailing Address - Fax:541-746-5809
Practice Address - Street 1:425 ALEXANDER LOOP
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-6524
Practice Address - Country:US
Practice Address - Phone:541-514-5658
Practice Address - Fax:541-746-5658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-16
Last Update Date:2015-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR26475207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty