Provider Demographics
NPI:1831153139
Name:NEUROLOGY ASSOCIATES EUGENE-SPRINGFIELD PC
Entity type:Organization
Organization Name:NEUROLOGY ASSOCIATES EUGENE-SPRINGFIELD PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCVEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-868-9430
Mailing Address - Street 1:1 HAYDEN BRIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97477-1347
Mailing Address - Country:US
Mailing Address - Phone:541-868-9430
Mailing Address - Fax:541-868-9450
Practice Address - Street 1:1 HAYDEN BRIDGE WAY
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97477
Practice Address - Country:US
Practice Address - Phone:541-868-9430
Practice Address - Fax:541-868-9450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-13
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR023861Medicaid
ORR00WCHNBMedicare PIN