1447207287 PEACEHEALTH MEDICAL GROUP

Family Medicine Physician

Active

Basic Information

Organization Name
PEACEHEALTH MEDICAL GROUP
Enumeration Date
May 27, 2006
Last Update
April 4, 2017
Authorized Official
LORI KETTLER
PROVIDER ENROLLMENT LEAD
Phone: (360) 729-1411

Practice Location

Address
1200 HILYARD ST
EUGENE, OR 974018122
Phone
(541) 687-6217

Mailing Address

Address
PO BOX 24410
EUGENE, OR 974020451
Phone
N/A

Specialties & Taxonomies

Specialty Code Classification License State Primary
Internal Medicine Physician
207R00000X Internal Medicine N/A OR No
Pediatrics Physician
208000000X Pediatrics N/A OK No
Addiction Medicine (Psychiatry & Neurology) Physician
Addiction Medicine
2084A0401X Psychiatry & Neurology N/A OR No
Surgery Physician
208600000X Surgery N/A OR No
Psychiatry Physician
Psychiatry
2084P0800X Psychiatry & Neurology N/A OR No
Counselor
101Y00000X Counselor N/A OR No
Mental Health Counselor
Mental Health
101YM0800X Counselor N/A OR No
Marriage & Family Therapist
106H00000X Marriage & Family Therapist N/A OR No
Psychologist
103T00000X Psychologist N/A OR No
Social Worker
104100000X Social Worker N/A OR No
Clinical Social Worker
Clinical
1041C0700X Social Worker N/A OR No
Registered Dietitian
133V00000X Dietitian, Registered N/A OR No
Advanced Practice Midwife
367A00000X Advanced Practice Midwife N/A OR No
Multi-Specialty Clinic/Center
Multi-Specialty
261QM1300X Clinic/Center N/A OR No
Family Medicine Physician
207Q00000X Family Medicine N/A OR Primary

Other Identifiers

Identifier Type State Issuer
071634 05 OR N/A

Frequently Asked Questions

What is PEACEHEALTH MEDICAL GROUP's NPI number?
PEACEHEALTH MEDICAL GROUP's NPI number is 1447207287.
Which doctor has NPI number 1447207287?
The doctor with NPI number 1447207287 is PEACEHEALTH MEDICAL GROUP.
What is PEACEHEALTH MEDICAL GROUP's practice address?
PEACEHEALTH MEDICAL GROUP's practice address is 1200 HILYARD ST, EUGENE, OR, 974018122.
Which doctor practices at 1200 HILYARD ST, EUGENE, OR, 974018122?
PEACEHEALTH MEDICAL GROUP practices at 1200 HILYARD ST, EUGENE, OR, 974018122.
What is PEACEHEALTH MEDICAL GROUP's mailing address?
PEACEHEALTH MEDICAL GROUP's mailing address is PO BOX 24410, EUGENE, OR, 974020451.
What is PEACEHEALTH MEDICAL GROUP's phone number?
PEACEHEALTH MEDICAL GROUP's phone number is (541) 687-6217.
Who is (541) 687-6217?
(541) 687-6217 is the phone number for PEACEHEALTH MEDICAL GROUP.
What is PEACEHEALTH MEDICAL GROUP's specialty?
PEACEHEALTH MEDICAL GROUP's specialty is Family Medicine Physician.
What type of doctor is PEACEHEALTH MEDICAL GROUP?
PEACEHEALTH MEDICAL GROUP is a Family Medicine Physician.
Is PEACEHEALTH MEDICAL GROUP a Family Medicine?
Yes, PEACEHEALTH MEDICAL GROUP is a Family Medicine.
Is PEACEHEALTH MEDICAL GROUP still practicing?
Yes, PEACEHEALTH MEDICAL GROUP is currently practicing.
Is PEACEHEALTH MEDICAL GROUP accepting new patients?
PEACEHEALTH MEDICAL GROUP may be accepting new patients. Please call their office at (541) 687-6217 to inquire about availability.
Is NPI 1447207287 still active?
Yes, NPI 1447207287 is currently active.
Where does PEACEHEALTH MEDICAL GROUP practice?
PEACEHEALTH MEDICAL GROUP practices in EUGENE, OR.