Provider Demographics
NPI:1912521105
Name:EHG OF OREGON PC
Entity Type:Organization
Organization Name:EHG OF OREGON PC
Other - Org Name:ESSENTIAL HEALTHCARE GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:JUDKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-240-3770
Mailing Address - Street 1:1A BURTON HILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-6187
Mailing Address - Country:US
Mailing Address - Phone:615-263-5579
Mailing Address - Fax:
Practice Address - Street 1:1755 COBURG RD UNIT 301
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-4900
Practice Address - Country:US
Practice Address - Phone:458-234-0082
Practice Address - Fax:458-234-0083
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EHG OF OREGON PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-06-03
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty