Organization Active NPI

Jeffrey Burch Ms LLC

  • Clinic/Center
  • Eugene, OR
National Provider Identifier
1467667063
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
9092 Issued in OR
Legal business name
JEFFREY BURCH MS LLC
Practice address
880 Nantucket Ave
Eugene, OR 97404-2720
Phone
(541) 689-1515
Fax
(541) 689-7419
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Jeffrey Burch, LMT
Title
Owner
Phone
(541) 689-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 9092 OR Primary

Addresses

Primary practice location

880 Nantucket Ave
Eugene, OR 97404-2720

Mailing address

880 Nantucket Ave
Eugene, OR 97404-2720
Phone (541) 689-1515

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1467667063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 NANTUCKET AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042720",
            "telephone_number": "541-689-1515",
            "fax_number": "541-689-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 NANTUCKET AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042720",
            "telephone_number": "541-689-1515",
            "fax_number": "541-689-7419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY BURCH MS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "BURCH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-689-1515",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "9092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 22, 2008; 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.