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Oregon Healthcare Resources LLC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Eugene, OR

NPI 1023317526 · NPPES record last updated Oct 4, 2011

Key facts

NPI
1023317526
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
OREGON HEALTHCARE RESOURCES LLC
Practice address
1650 Chambers St
Eugene, OR 97402-3636
Phone
(541) 686-1711
Fax
(541) 686-6018
NPI assigned
Mar 23, 2011
Organization subpart
No

Authorized official

Name
Brenda A. Sheter
Title
Support Services Manager
Phone
(541) 687-4900

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 160

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 160

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20110607000665 OR DME Supplier - Physician - General Practice 4486835477 Practice locations: Eugene, OR

National Provider Directory

Tax ID family
Oregon Healthcare (4 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

1650 Chambers St
Eugene, OR 97402-3636

Mailing address

PO Box 1648
Eugene, OR 97440-1648
Phone (541) 687-4900

Other identifiers

IdentifierTypeStateIssuer
6501380004OtherORDME PTAN

Other names

  • Oregon Medical Group Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 4, 2011.

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1023317526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1648",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974401648",
            "telephone_number": "541-687-4900",
            "fax_number": "541-687-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 CHAMBERS ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974023636",
            "telephone_number": "541-686-1711",
            "fax_number": "541-686-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON HEALTHCARE RESOURCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-23",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "SHETER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "SUPPORT SERVICES MANAGER",
        "authorized_official_telephone_number": "541-687-4900"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME PTAN",
            "identifier": "6501380004",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oregon Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eugene, OR

All providers in Eugene, OR · Durable Medical Equipment & Medical Supplies in Oregon

Sources for this page

Verify at the official NPI Registry.