Two Rivers Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD15846 Issued in OR

Legal business name

TWO RIVERS CLINIC

Practice address

995 Willagillespie, Ste 200a
Eugene, OR 97401

Phone

(541) 484-4339

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Bruce Stout, M.D.

Title

Owner-Physician

Phone

(541) 484-4339

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083745038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 POTTER STREET",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013059",
            "telephone_number": "541-485-9534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 WILLAGILLESPIE, STE 200A",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97401",
            "telephone_number": "541-484-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO RIVERS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER-PHYSICIAN",
        "authorized_official_telephone_number": "541-484-4339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD15846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027565",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Elise Tuski
• Crystal Tuski, CNA
• Kimberly Tustin, D.D.S.
• Abby Tuttle Shamblin, M.ED.
• Keenan Aleksei Tvedt, LMT
• Patricia Diane Twombly, LPN
• Tyler D. Clark DMD, PC
• Tyler Whiting Pediatric Dentistry PC
• Mary Lawrence Tyler, LCSW
• Tyler N Tylinski, P.T.

• Family Medicine Physician in Eugene, OR
• Providers in Eugene, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.