Vital Links West LLC
Organization Active NPI Surgery Physician · Eugene, OR
NPI 1104011071 · NPPES record last updated Sep 12, 2007
Key facts
- NPI
- 1104011071
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- License
- MD22731 (OR)
- Legal business name
- VITAL LINKS WEST LLC
- Practice address
- 1200 Executive Pkwy
Suite 360
Eugene, OR 97401-2114 - Phone
- (541) 344-4594
- Fax
- (541) 686-6295
- NPI assigned
- Sep 12, 2007
- Organization subpart
- No
Authorized official
- Name
- Holly Kaye Stambaugh
- Title
- Registered Agent / Owner
- Phone
- (541) 297-6163
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | MD22731 | OR | Yes |
| Family Nurse Practitioner |
363LF0000X | OR |
Addresses
Primary practice location
1200 Executive Pkwy
Suite 360
Eugene, OR 97401-2114
Mailing address
660 14TH Ave
Coos Bay, OR 97420-4414
Phone (541) 297-6163
Other names
- OREGON OPTIMAL HEALTH
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.