Individual provider Active NPI

Jason Quiring, PHD

  • Clinical Psychologist
  • Eugene, OR
National Provider Identifier
1609015049
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1707 Issued in OR
Practice address
895 Pine Forest Dr
Box 5585
Eugene, OR 97405-4070
Phone
(503) 702-9218
NPI assigned
Feb 9, 2009
Last updated
Feb 9, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1707 OR Primary

Addresses

Primary practice location

895 Pine Forest Dr
Box 5585
Eugene, OR 97405-4070

Mailing address

895 Pine Forest Dr
PO Box 5585
Eugene, OR 97405-4070
Phone (503) 702-9218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Medical Group CurrentSince Oct 5, 2015 Accepting new patients

Locations

4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234137600000",
    "number": "1609015049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 PINE FOREST DR",
            "address_2": "PO BOX 5585",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974054070",
            "telephone_number": "503-702-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 PINE FOREST DR",
            "address_2": "BOX 5585",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974054070",
            "telephone_number": "503-702-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIRING",
        "first_name": "JASON",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.