Hale2 Men'S Clinic, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

HALE2 MEN'S CLINIC, LLC

Practice address

1410 Oak St Ste 101
Eugene, OR 97401-4668

Phone

(541) 228-3660

Fax

(541) 228-3266

NPI assigned

Dec 21, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Kristian Martin Ferry, MD

Title

Owner

Phone

(541) 228-3660

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• HALE MEN'S CLINIC, LLC Doing business as

Locations

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513814400000",
    "number": "1730695032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 OAK ST STE 101",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014668",
            "telephone_number": "541-228-3660",
            "fax_number": "541-228-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 OAK ST STE 101",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014668",
            "telephone_number": "541-228-3660",
            "fax_number": "541-228-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALE2 MEN'S CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-21",
        "last_updated": "2017-12-21",
        "status": "A",
        "authorized_official_last_name": "FERRY",
        "authorized_official_first_name": "KRISTIAN",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-228-3660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "NP201401588",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAICS CODE",
            "identifier": "621399",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EFTPS",
            "identifier": "9978",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HALE MEN'S CLINIC, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alishiya Halaney, M.ED.
• Allison M Halbert, LMT
• Danielle Autumn Halbrook, RN
• Colby Dean Halderman, B.A.
• Hale Men'S Clinic, LLC
• Charles Hales, MD
• Haley West Lac
• Halfway House Services, Inc.
• Halfway House Services, Inc.
• Halia Therapeutics LLC

• Medical Specialty Clinic/Center in Eugene, OR
• Providers in Eugene, OR by specialty
• Medical Specialty Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; 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.