Hale Men'S Clinic, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

HALE MEN'S CLINIC, LLC

Practice address

1410 Oak St
Suite 101
Eugene, OR 97401-4604

Phone

(541) 228-3660

Fax

(541) 228-3670

NPI assigned

Jul 6, 2016

Organization subpart

No

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

Authorized official

Name

Kristian M Ferry, M.D.

Title

President

Phone

(541) 228-3660

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1457703241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 OAK ST",
            "address_2": "SUITE 101",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014604",
            "telephone_number": "541-228-3660",
            "fax_number": "541-228-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 OAK ST",
            "address_2": "SUITE 101",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014604",
            "telephone_number": "541-228-3660",
            "fax_number": "541-228-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALE MEN'S CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "FERRY",
        "authorized_official_first_name": "KRISTIAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-228-3660",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON REGISTRY",
            "identifier": "123027690",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Hakala, PA-C
• Alishiya Halaney, M.ED.
• Allison M Halbert, LMT
• Danielle Autumn Halbrook, RN
• Colby Dean Halderman, B.A.
• Hale2 Men'S Clinic, LLC
• Charles Hales, MD
• Haley West Lac
• Halfway House Services, Inc.
• Halfway House Services, Inc.

• Health Service Clinic/Center in Eugene, OR
• Providers in Eugene, OR by specialty
• Health Service Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.