Organization Active NPI

Pure Infusion of Oregon LLC

  • Multi-Specialty Clinic/Center
  • Eugene, OR
National Provider Identifier
1053293423
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PURE INFUSION OF OREGON LLC
Practice address
920 Country Club Rd Ste 230B
Eugene, OR 97401-6084
Phone
(541) 434-4401
NPI assigned
Jul 24, 2025
Last updated
Oct 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rachel Ann Fraga
Title
Director of Payer Development
Phone
(801) 921-6325

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X NU
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

920 Country Club Rd Ste 230B
Eugene, OR 97401-6084

Mailing address

4179 S Riverboat Rd Ste 220
Taylorsville, UT 84123-2986
Phone (801) 590-9267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251021000820 OR Part B Supplier - Clinic/Group Practice 6103314307 Receives reassigned benefits from 5 practitioners
Practice locations: Eugene, OR; Portland, OR

National Provider Directory

National Provider Directory

Locations

920 Country Club Rd
Ste 230B
Eugene, OR 97401
Phone (541) 434-4401

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1053293423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4179 S RIVERBOAT RD STE 220",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841232986",
            "telephone_number": "801-590-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 COUNTRY CLUB RD STE 230B",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016084",
            "telephone_number": "541-434-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE INFUSION OF OREGON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "FRAGA",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR OF PAYER DEVELOPMENT",
        "authorized_official_telephone_number": "801-921-6325"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.