Active NPI
Miguel Estevez, M.D., PH.D.
- Neurology Physician
- Coburg, OR
National Provider Identifier
1588764591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD160337
- Practice address
- 1 Serenity LN
Coburg, OR 97408-9350 - Phone
- (541) 262-1879
- Fax
- (541) 683-9061
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD160337 | OR | Primary |
Addresses
Primary practice location
1 Serenity LN
Coburg, OR 97408-9350
Mailing address
3355 Riverbend Dr
Suite 410
Springfield, OR 97477-8800
Phone (541) 868-9430
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500652009 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD160337 | OR | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1588764591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3355 RIVERBEND DR",
"address_2": "SUITE 410",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974778800",
"telephone_number": "541-868-9430",
"fax_number": "541-868-9450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SERENITY LN",
"city": "COBURG",
"state": "OR",
"postal_code": "974089350",
"telephone_number": "541-262-1879",
"fax_number": "541-683-9061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTEVEZ",
"first_name": "MIGUEL",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OR",
"license": "MD160337",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500652009",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Coburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.