Active NPI
Santa Clara Medical Clinic, P.C.
- Family Medicine Physician
- Eugene, OR
National Provider Identifier
1598878522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SANTA CLARA MEDICAL CLINIC, P.C.
- Practice address
- 217 Division Ave
Eugene, OR 97404-5429 - Phone
- (541) 688-3000
- Fax
- (541) 688-5368
- NPI assigned
- Aug 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Theresa Lynn House, MD
- Title
- Physician/Secretary
- Phone
- (541) 688-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
217 Division Ave
Eugene, OR 97404-5429
Mailing address
217 Division Ave
Eugene, OR 97404-5429
Phone (541) 688-3000
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222646400000",
"number": "1598878522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 DIVISION AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974045429",
"telephone_number": "541-688-3000",
"fax_number": "541-688-5368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 DIVISION AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974045429",
"telephone_number": "541-688-3000",
"fax_number": "541-688-5368"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTA CLARA MEDICAL CLINIC, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-16",
"last_updated": "2008-09-29",
"status": "A",
"authorized_official_last_name": "HOUSE",
"authorized_official_first_name": "THERESA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PHYSICIAN/SECRETARY",
"authorized_official_telephone_number": "541-688-3000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"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 Sep 29, 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.