NPIMap

Organization Active NPI

Willamette Community Medical Group LLC

Doing business as Oregon Medical Group Crescent Family Medicine and Pediatrics

  • Durable Medical Equipment & Medical Supplies
  • Eugene, OR
National Provider Identifier
1447435037
Registry record updated Feb 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
WILLAMETTE COMMUNITY MEDICAL GROUP LLC
Doing business as
Oregon Medical Group Crescent Family Medicine and Pediatrics
Practice address
2830 Crescent Ave
Eugene, OR 97408-7397
Phone
(541) 686-9000
Fax
(541) 242-4585
NPI assigned
Jan 2, 2008
Last updated
Feb 17, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
WILLAMETTE COMMUNITY MEDICAL GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 17, 2009

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

Authorized official

Name
Debbie Brewer
Title
Director
Phone
(615) 465-7626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2830 Crescent Ave
Eugene, OR 97408-7397

Mailing address

4000 Meridian Blvd
Attn: Debbie Brewer
Franklin, TN 37067-6325
Phone (615) 465-7626

Other identifiers 1

IdentifierTypeStateIssuer
1447435037OtherORNPI

Other names 1

  • Oregon Medical Group Crescent Family Medicine and Pediatrics Doing business as

National Provider Directory

National Provider Directory
Part of
Willamette Community Medical Group

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1447435037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MERIDIAN BLVD",
            "address_2": "ATTN: DEBBIE BREWER",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676325",
            "telephone_number": "615-465-7626",
            "fax_number": "615-465-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 CRESCENT AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974087397",
            "telephone_number": "541-686-9000",
            "fax_number": "541-242-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAMETTE COMMUNITY MEDICAL GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILLAMETTE COMMUNITY MEDICAL GROUP LLC",
        "enumeration_date": "2008-01-02",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-465-7626"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1447435037",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oregon Medical Group Crescent Family Medicine and Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.