Vital Links West LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD22731 Issued in OR

Legal business name

VITAL LINKS WEST LLC

Doing business as

Oregon Optimal Health

Practice address

1200 Executive Pkwy
Suite 360
Eugene, OR 97401-2114

Phone

(541) 344-4594

Fax

(541) 686-6295

NPI assigned

Sep 12, 2007

Last updated

Sep 12, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Holly Kaye Stambaugh

Title

Registered Agent / Owner

Phone

(541) 297-6163

Specialties & licenses 2

Addresses

Other names 1

• OREGON OPTIMAL HEALTH Doing business as

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1104011071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 14TH AVE",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974204414",
            "telephone_number": "541-297-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 EXECUTIVE PKWY",
            "address_2": "SUITE 360",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012114",
            "telephone_number": "541-344-4594",
            "fax_number": "541-686-6295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL LINKS WEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "STAMBAUGH",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "REGISTERED AGENT / OWNER",
        "authorized_official_telephone_number": "541-297-6163"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD22731",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OREGON OPTIMAL HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Surgery Physician in Eugene, OR
• Providers in Eugene, OR by specialty
• Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.