Lauren Rae Earley, PA-C
Individual provider Active NPI Medical Physician Assistant · Junction City, OR
NPI 1124460217 · NPPES record last updated Apr 10, 2025
Key facts
- NPI
- 1124460217
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA185443 (OR)
- Practice address
- 355 W 3Rd Ave
Junction City, OR 97448-1313 - Phone
- (541) 998-6750
- Fax
- (541) 998-8270
- NPI assigned
- Jul 18, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Icco LLC
Practice addresses (Care Compare)
355 W 3Rd Ave
Junction City, OR 97448-1313
Phone (541) 998-6750
598 E 13TH Ave
Eugene, OR 97401-4783
Phone (541) 636-3473
Hospital & facility affiliations
- Sacred Heart Medical Center - Riverbend
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180502001373 | OR | Practitioner - Physician Assistant | 9234370370 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016734 | NY | MD | Speech-Language Pathologist |
| PA185443 | OR | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icco, LLC | Current |
Accepting new patients | |
| Zia Sheikh MD Professional Corporation | Past | Accepting new patients | |
| Salamance Family Health Center | Past | Accepting new patients | |
| Icco, LLC | Past | Accepting new patients |
Locations
1445 Gateway Blvd
Cottage Grove, OR 97424
Phone (541) 767-3023
598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473
1292 High St
Eugene, OR 97401
Phone (541) 636-3473
355 W 3rd Ave
Junction City, OR 97448
Phone (541) 998-2468
3400 Cooperative Way
Lebanon, OR 97355
Phone (541) 333-6605
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 016734 | NY | |
| Medical Physician Assistant | 363AM0700X | PA185443 | OR | Yes |
Addresses
Primary practice location
355 W 3Rd Ave
Junction City, OR 97448-1313
Mailing address
355 W 3Rd Ave
Junction City, OR 97448-1313
Phone (541) 998-6750
Other names
- Lauren Rae Bell
Other providers in Junction City, OR
- DRS. Bullock & Powell, LLC
- Stacy Erin Dunson
- Jessica Ann Dupont
- Danny Lee Durbin
- Karen Melody Dyer-McGowan
- Scott Eastburn
- John Ejikeme
- Georgia England
- Tiffany Enos
- Marcelina Gloria Entizne
All providers in Junction City, OR · Medical Physician Assistant in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.