Organization Active NPI

Ydb, Inc

Doing business as Refine Medical Center

  • Primary Care Nurse Practitioner
  • Eugene, OR
National Provider Identifier
1700283199
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
201050073NP Issued in OR
Legal business name
YDB, INC
Doing business as
Refine Medical Center
Practice address
690 Van Buren St
Eugene, OR 97402-4623
Phone
(541) 228-9966
NPI assigned
Dec 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
Yena Kim, FNP-BCNPI 1255640991
Title
Principal Officer
Phone
(541) 731-0031

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X 201050073NP OR Primary

Addresses

Primary practice location

690 Van Buren St
Eugene, OR 97402-4623

Mailing address

690 Van Buren St
Eugene, OR 97402-4623
Phone (541) 228-9966

Other names 1

  • Refine Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150427002520 OR Part B Supplier - Clinic/Group Practice 1658690581 Receives reassigned benefits from 1 practitioner
Practice locations: Eugene, OR

National Provider Directory

National Provider Directory

Locations

690 Van Buren St
Eugene, OR 97402
Phone (541) 228-9966

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1700283199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 VAN BUREN ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974024623",
            "telephone_number": "541-228-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 VAN BUREN ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974024623",
            "telephone_number": "541-228-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YDB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2025-04-15",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YENA",
        "authorized_official_title_or_position": "PRINCIPAL OFFICER",
        "authorized_official_telephone_number": "541-731-0031",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OR",
            "license": "201050073NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Refine Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Refine Medical Center",
            "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 Apr 15, 2025; 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.