ESSENTIAL MEDICAL
Ambulatory Health at 11 Ave, Eugene, OR

License number
Oregon 201050185NP
Category
Ambulatory Health
Type
Primary Care
Owner
Name: KRISTI WALLACE
Title: NURSE PRACTITIONER
Phone: (541) 337-4000
Address
Address
131 E 11Th Ave, Eugene, OR 97401
National Provider ID: 1619399235
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about ESSENTIAL MEDICAL at bizstanding.com

ESSENTIAL MEDICAL, LLC

74 E 18 Ave SUITE 5, Eugene, OR 97401

Registration:
Dec 12, 2013
State ID:
98292395
Business type:
DOMESTIC LIMITED LIABILITY COMPANY
Agent:
Kristi Wallace,74 E 18 Ave SUITE 5, Eugene, OR 97401 (Physical)

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