Organization Active NPI

Arbora Collective LLC

Doing business as Arbora Medical Spa

  • Clinic/Center
  • Eugene, OR
National Provider Identifier
1619711801
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ARBORA COLLECTIVE LLC
Doing business as
Arbora Medical Spa
Practice address
935 Willagillespie Rd Ste a
Eugene, OR 97401-2106
Phone
(541) 600-0878
Fax
(541) 854-4000
NPI assigned
Jun 21, 2024
Last updated
Jun 21, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ARBORA MEDICAL SPAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Authorized official

Name
Elisabeth Hernandez, MSN, APRN-CNS, CCMNPI 1871222430
Title
Medical Director
Phone
(541) 600-0878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Clinic/Center 261Q00000X NU Primary
Point of Service 305S00000X NU

Addresses

Primary practice location

935 Willagillespie Rd Ste a
Eugene, OR 97401-2106

Mailing address

935 Willagillespie Rd Ste a
Eugene, OR 97401-2106
Phone (541) 600-0878

Other identifiers 1

IdentifierTypeStateIssuer
1871222430MedicaidOR

Other names 1

  • Arbora Medical Spa Doing business as

National Provider Directory

National Provider Directory
Part of
Arbora Collective LLC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1619711801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 WILLAGILLESPIE RD STE A",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012106",
            "telephone_number": "541-600-0878",
            "fax_number": "541-854-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 WILLAGILLESPIE RD STE A",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012106",
            "telephone_number": "541-600-0878",
            "fax_number": "541-854-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBORA COLLECTIVE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARBORA MEDICAL SPA",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "541-600-0878",
        "authorized_official_credential": "MSN, APRN-CNS, CCM"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871222430",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arbora Medical Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 21, 2024; 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.