Provider Demographics
NPI:1720282619
Name:JEFFREY L. TURCOT M.D., P.C.
Entity Type:Organization
Organization Name:JEFFREY L. TURCOT M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:L
Authorized Official - Last Name:TURCOT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:503-561-8180
Mailing Address - Street 1:875 OAK ST SE
Mailing Address - Street 2:SUITE 5085
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-3975
Mailing Address - Country:US
Mailing Address - Phone:503-561-8180
Mailing Address - Fax:503-561-8182
Practice Address - Street 1:875 OAK ST SE
Practice Address - Street 2:SUITE 5085
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-3975
Practice Address - Country:US
Practice Address - Phone:503-561-8180
Practice Address - Fax:503-561-8182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD17882261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR068945Medicaid
ORF07462Medicare UPIN
OR138058Medicare PIN