Prohealth Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD23786 Issued in OR

Legal business name

PROHEALTH FAMILY MEDICINE

Practice address

1410 Oak St
Suite 102
Eugene, OR 97401-4604

Phone

(541) 228-3270

Fax

(541) 228-3272

NPI assigned

Feb 15, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Justin Montoya

Title

Owner

Phone

(541) 228-3270

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1255604690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 OAK ST",
            "address_2": "SUITE 102",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014604",
            "telephone_number": "541-228-3270",
            "fax_number": "541-228-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 OAK ST",
            "address_2": "SUITE 102",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014604",
            "telephone_number": "541-228-3270",
            "fax_number": "541-228-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "MONTOYA",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-228-3270",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD23786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Prober, M.S., L.P.C.
• Shaelynn Prock
• Megan Proctor
• Professional Consulting Services, Inc.
• Professional Home Care
• Richard James Prout, PRH
• Cary Marie Provol
• Josephine Casey Witte Pruch, M.ED., LMFT
• Jeremy Mark Pruitt
• Rachael Pruitt, M.ED

• 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 Feb 15, 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.