NPIMap

Organization Active NPI

Pacific Womens Center LLC

  • Obstetrics & Gynecology Physician
  • Eugene, OR
National Provider Identifier
1669561189
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
9078641 Issued in OR
Legal business name
PACIFIC WOMENS CENTER LLC
Practice address
10 Coburg Rd
Ste 100
Eugene, OR 97401-7479
Phone
(541) 342-8616
Fax
(541) 686-4814
NPI assigned
Oct 12, 2006
Last updated
Jan 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Authorized official

Name
Elizabeth Hill
Title
Office Administrator
Phone
(541) 342-8616

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 9078641 OR Primary
Gynecology Physician 207VG0400X 907864-1 OR
Obstetrics Physician 207VX0000X 9078641 OR

Addresses

Primary practice location

10 Coburg Rd
Ste 100
Eugene, OR 97401-7479

Mailing address

10 Coburg Rd
Ste 100
Eugene, OR 97401-7479
Phone (541) 342-8616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040809001380 OR Part B Supplier - Clinic/Group Practice 0749252898 Receives reassigned benefits from 9 practitioners
Practice locations: Eugene, OR

National Provider Directory

National Provider Directory

Locations

151 W 7th Ave
Ste 110
Eugene, OR 97401
Phone (541) 342-8616

911 Country Club Rd
Ste 222
Eugene, OR 97401
Phone (541) 342-2477

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1669561189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 COBURG RD",
            "address_2": "STE 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017479",
            "telephone_number": "541-342-8616",
            "fax_number": "541-686-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 COBURG RD",
            "address_2": "STE 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017479",
            "telephone_number": "541-342-8616",
            "fax_number": "541-686-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC WOMENS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "541-342-8616"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "9078641",
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OR",
            "license": "907864-1",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "OR",
            "license": "9078641",
            "primary": false
        }
    ],
    "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 Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.