NPIMap

Organization Active NPI

Blaker Enterprises Inc

Doing business as Two Rivers Health Center

  • Family Nurse Practitioner
  • Eugene, OR
National Provider Identifier
1831378025
Registry record updated Dec 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
90006820N1 Issued in OR
Legal business name
BLAKER ENTERPRISES INC
Doing business as
Two Rivers Health Center
Practice address
1902 Jefferson St
Suite 2
Eugene, OR 97405-2414
Phone
(541) 284-8882
Fax
(541) 284-2826
NPI assigned
Oct 24, 2007
Last updated
Dec 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2017

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

Authorized official

Name
Debra S Blaker, FNPNPI 1104906981
Title
Owner/Practitioner
Phone
(541) 284-8882

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 90006820N1 OR Primary

Addresses

Primary practice location

1902 Jefferson St
Suite 2
Eugene, OR 97405-2414

Mailing address

1902 Jefferson St
Suite 2
Eugene, OR 97405-2414
Phone (541) 284-8882

Other names 1

  • Two Rivers Health Center Doing business as

National Provider Directory

National Provider Directory

Locations

1667 High St
Eugene, OR 97401
Phone (541) 343-9914

1950 Franklin Blvd
#40
Eugene, OR 97403

Practitioners & affiliated clinicians

Practitioners 2

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": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512864000000",
    "number": "1831378025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 JEFFERSON ST",
            "address_2": "SUITE 2",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974052414",
            "telephone_number": "541-284-8882",
            "fax_number": "541-284-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 JEFFERSON ST",
            "address_2": "SUITE 2",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974052414",
            "telephone_number": "541-284-8882",
            "fax_number": "541-284-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKER ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2017-12-10",
        "status": "A",
        "authorized_official_last_name": "BLAKER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "541-284-8882",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "90006820N1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Two Rivers Health 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 Dec 10, 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.