Oregon TLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

22132 Issued in OR

Legal business name

OREGON TLC

Practice address

132 E Broadway
Suite 716
Eugene, OR 97401-3143

Phone

(541) 255-1213

NPI assigned

Aug 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jelena Blackburn, M.D., N.D.

Title

Vice President

Phone

(541) 255-1213

Specialties & licenses 1

Addresses

Tax ID family

Oregon TLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Oregon TLC, LLC

  • Physical Medicine & Rehabilitation Physician
  • Eugene, OR
  • NPI 1043373434
  NPD tax ID

Locations

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1174871552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 E BROADWAY",
            "address_2": "SUITE 716",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013143",
            "telephone_number": "541-255-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 E BROADWAY",
            "address_2": "SUITE 716",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013143",
            "telephone_number": "541-255-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON TLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "BLACKBURN",
        "authorized_official_first_name": "JELENA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "541-255-1213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., N.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "OR",
            "license": "22132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oregon Speech Therapy and Mobile Fees
• Oregon Spine & Physical Therapy
• Oregon Spine & Physical Therapy
• Oregon Spine and Physical Therapy
• Oregon Therapy Collective, LLC
• Oregon TLC, LLC
• Oregon Trusted Local Care Clinic
• Oregon University System
• Oregon University System
• Oregon University System

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Eugene, OR
• Providers in Eugene, OR by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.