Active NPI 1891734448 Individual Practitioner Female Practitioner

Dr. Diane L Baird , MD

Dermatology • Eugene, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Diane Baird, MD is a certified Dermatology practicing in Eugene, OR. With approximately 36 years of clinical experience since graduating from University Of Hawaii John A. Burns School Of Medicine in 1990, Dr. Baird delivers high-quality medical care to the local community at 360 S.GARDEN WAY.

Dr. Baird is affiliated with Diane L Baird Md Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of precancer skin growth, 2-14 growths, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

360 S.garden Way
Suite 210

Eugene, OR 97401

Telephone 5416833202

Fax 5418681063

Associated Practice Facility / Clinic

🏢 Diane L Baird Md Pc Facility NPI 1750447546

Medicare Profile & Education

Medical School

University Of Hawaii John A. Burns School Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Eugene, OR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +7.0 yrs vs City Avg

City Avg: 29.0 Yrs

State Avg: 21.5 Yrs

Regional Practice Density

12 Specialists

Practicing in Eugene, OR (217 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Baird (36 Years) 36 Yrs

Eugene Specialty Average (29.0 Years) 29.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	850	609	$177.47	$89.89
17003 Destruction of precancer skin growth, 2-14 growths	782	225	$13.12	$6.63
17000 Destruction of skin growth	453	362	$132.61	$54.50
17110 Destruction of up to 14 skin growths	170	156	$223.39	$107.90
11102 Tangential biopsy of single skin lesion	156	140	$196.70	$88.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	98	98	$216.63	$109.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	48	$250.37	$127.11
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	48	40	$593.10	$291.01
11103 Biopsy of related skin growth, each additional growth	44	33	$98.27	$49.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	30	$110.16	$55.90
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	29	27	$477.96	$121.61
11104 Punch biopsy, first skin growth	24	24	$244.40	$124.24
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	24	23	$291.96	$128.43
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	20	18	$196.64	$82.38
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	18	17	$349.03	$163.04
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	13	$336.56	$92.35
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	12	12	$514.91	$261.53
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	11	11	$237.19	$109.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$325.64	$165.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	884	645	$175.72	$87.94
17003 Destruction of precancer skin growth, 2-14 growths	733	232	$13.17	$6.60
17000 Destruction of skin growth	429	370	$131.33	$53.50
17110 Destruction of up to 14 skin growths	195	172	$222.95	$106.92
11102 Tangential biopsy of single skin lesion	166	138	$199.09	$87.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	117	117	$217.17	$108.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	47	$109.96	$55.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	43	$248.44	$124.74
11103 Biopsy of related skin growth, each additional growth	48	34	$98.61	$49.46
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	43	35	$596.04	$295.27
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	33	29	$479.58	$120.13
11104 Punch biopsy, first skin growth	27	25	$246.94	$119.11
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	25	24	$349.88	$171.91
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	23	23	$494.06	$124.02
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	22	17	$2.17	$1.07
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	19	19	$605.92	$304.69
69100 Biopsy of ear	16	15	$188.97	$77.01
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	14	14	$556.07	$239.16
11900 Injection into skin growth, 1-7 growths	12	11	$111.66	$48.93
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	12	12	$516.10	$258.93
11200 Removal of skin tag, 1-15 skin tags	11	11	$178.79	$77.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	880	626	$176.26	$87.07
17003 Destruction of precancer skin growth, 2-14 growths	853	242	$13.26	$6.56
17000 Destruction of skin growth	462	371	$130.68	$51.76
17110 Destruction of up to 14 skin growths	183	169	$221.18	$106.22
11102 Tangential biopsy of single skin lesion	164	144	$200.34	$90.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	127	127	$216.66	$106.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	77	$249.42	$123.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	47	$109.38	$54.20
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	44	42	$593.40	$273.92
11103 Biopsy of related skin growth, each additional growth	39	31	$99.88	$49.54
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	37	36	$477.04	$118.23
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	37	14	$2.29	$1.13
11104 Punch biopsy, first skin growth	31	30	$248.90	$117.54
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	27	21	$348.52	$150.17
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	21	19	$288.42	$122.65
69100 Biopsy of ear	16	14	$189.18	$75.93
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	13	13	$518.00	$256.29
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	12	12	$522.22	$129.52
11900 Injection into skin growth, 1-7 growths	12	11	$110.60	$43.25
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	11	11	$336.52	$90.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	949	680	$177.18	$89.41
17003 Destruction of precancer skin growth, 2-14 growths	797	235	$12.73	$6.43
17000 Destruction of skin growth	512	402	$128.46	$51.53
17110 Destruction of up to 14 skin growths	216	197	$221.26	$108.41
11102 Tangential biopsy of single skin lesion	198	176	$202.68	$95.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	117	117	$217.05	$109.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	68	68	$109.18	$55.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	58	$251.56	$127.41
11103 Biopsy of related skin growth, each additional growth	59	45	$102.83	$52.08
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	54	47	$601.09	$301.53
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	47	32	$482.02	$122.14
11104 Punch biopsy, first skin growth	34	32	$253.58	$128.11
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	29	24	$347.36	$148.75
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	19	17	$498.09	$126.06
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	17	15	$2.55	$1.28
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	16	16	$288.26	$118.61
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$141.30	$71.07
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	14	13	$526.18	$133.43
11200 Removal of skin tag, 1-15 skin tags	14	14	$174.82	$66.28
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	13	12	$554.08	$269.93
69100 Biopsy of ear	13	12	$192.72	$86.25
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	13	12	$607.76	$295.20
11900 Injection into skin growth, 1-7 growths	12	11	$109.54	$41.66
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	11	11	$515.33	$260.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	639	205	$11.86	$5.98
99213 Established patient office or other outpatient visit, typically 15 minutes	593	441	$146.90	$73.91
17000 Destruction of skin growth	430	353	$128.33	$52.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	263	255	$213.63	$108.10
11102 Tangential biopsy of single skin lesion	191	162	$196.43	$89.52
17110 Destruction of up to 14 skin growths	146	135	$219.35	$105.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	116	94	$88.80	$44.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	104	104	$210.81	$106.32
11103 Biopsy of related skin growth, each additional growth	52	37	$104.38	$52.72
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	46	43	$595.16	$300.25
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	39	34	$486.44	$122.67
99202 New patient office or other outpatient visit, typically 20 minutes	33	33	$148.68	$74.92
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	25	25	$502.13	$147.03
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	25	19	$347.67	$150.94
11104 Punch biopsy, first skin growth	25	22	$247.16	$121.76
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	21	17	$286.60	$120.56
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	21	20	$532.15	$134.59
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	17	17	$591.52	$289.78
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	16	15	$534.83	$262.47
69100 Biopsy of ear	15	14	$193.09	$81.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,117	786	$147.06	$73.23
17003 Destruction of precancer skin growth, 2-14 growths	1,003	288	$11.12	$5.53
17000 Destruction of skin growth	618	482	$129.34	$52.87
11102 Tangential biopsy of single skin lesion	221	188	$195.54	$87.40
17110 Destruction of up to 14 skin growths	211	188	$218.64	$103.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	137	137	$214.10	$106.56
99202 New patient office or other outpatient visit, typically 20 minutes	123	123	$151.00	$75.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	114	101	$89.12	$44.37
11104 Punch biopsy, first skin growth	53	52	$245.86	$118.88
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	52	47	$603.86	$294.68
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	49	41	$350.02	$156.43
11103 Biopsy of related skin growth, each additional growth	44	35	$105.48	$52.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	41	$215.52	$107.27
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	38	33	$492.96	$135.53
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	35	33	$287.12	$128.60
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	23	18	$3.29	$1.62
69100 Biopsy of ear	23	19	$194.92	$73.85
96573 Application of light by qualified health care professional to destroy precancer skin growth	21	21	$398.04	$198.15
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	19	18	$795.23	$391.25
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	19	15	$509.64	$146.79
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	19	17	$539.58	$183.67
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	17	15	$193.44	$76.47
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	17	17	$527.14	$177.40
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	17	15	$587.38	$240.71
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	14	13	$237.52	$109.84
11900 Injection into skin growth, 1-7 growths	14	14	$107.64	$47.84
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	14	14	$487.14	$190.48
11200 Removal of skin tag, 1-15 skin tags	13	13	$175.58	$67.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	6,400	31	$2.00	$1.41
99213 Established patient office or other outpatient visit, typically 15 minutes	998	703	$144.58	$67.53
17003 Destruction of precancer skin growth, 2-14 growths	849	243	$10.39	$4.83
17000 Destruction of skin growth	516	406	$131.13	$48.64
11100 Biopsy of single growth of skin and/or tissue	232	193	$209.15	$87.49
17110 Destruction of up to 14 skin growths	206	181	$221.69	$98.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	110	88	$86.80	$40.48
99202 New patient office or other outpatient visit, typically 20 minutes	102	102	$148.54	$68.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$213.08	$100.00
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	64	57	$599.95	$268.82
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	62	52	$348.46	$141.37
11101 Biopsy of each additional growth of skin and/or tissue	49	38	$64.85	$29.77
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	35	32	$493.49	$121.14
96573 Application of light by qualified health care professional to destroy precancer skin growth	28	28	$374.47	$174.18
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	28	23	$297.46	$108.94
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	28	26	$331.63	$74.22
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	25	20	$286.57	$103.87
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	23	12	$3.68	$1.81
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	20	18	$539.21	$194.06
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	17	17	$510.14	$139.32
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	16	16	$512.66	$133.94
69100 Biopsy of ear	13	13	$200.20	$64.34
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	13	13	$574.62	$246.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$213.49	$99.38
11200 Removal of skin tag, 1-15 skin tags	11	11	$177.84	$56.50
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	11	11	$472.58	$189.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	884	646	$144.36	$69.52
17003 Destruction of precancer skin growth, 2-14 growths	737	217	$11.22	$5.31
17000 Destruction of skin growth	442	356	$131.51	$51.65
11100 Biopsy of single growth of skin and/or tissue	212	175	$203.62	$86.79
17110 Destruction of up to 14 skin growths	175	162	$218.34	$101.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	133	102	$85.90	$41.45
99202 New patient office or other outpatient visit, typically 20 minutes	73	73	$147.53	$70.99
11101 Biopsy of each additional growth of skin and/or tissue	63	42	$64.59	$30.66
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	42	37	$344.59	$146.46
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	40	34	$597.57	$266.56
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	35	33	$728.66	$359.00
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	33	33	$264.85	$127.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$212.68	$102.62
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	24	20	$489.35	$117.97
17260 Destruction of cancer skin growth of trunk, arms, or legs, 0.5 cm or less	23	20	$186.76	$66.62
11200 Removal of skin tag, 1-15 skin tags	19	19	$174.48	$62.05
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	18	17	$282.00	$102.34
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	16	14	$535.57	$169.64
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	14	12	$293.65	$111.44
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	11	$326.75	$85.33
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	11	11	$366.72	$168.75
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	11	11	$505.82	$155.20

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License OR MD19050

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

128152 (OR)

Hospital & Practice Group Affiliations

Diane L Baird Md Pc

360 S Garden Way, Eugene, OR 974018186

Phone: 5416833202

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Cheryl Bourgault , PA-C

Physician Assistant

NPI 1205823036

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 31, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location January 31, 2011

Registered at 360 S.GARDEN WAY, SUITE 210, EUGENE, OR 97401 (Tel: 5416833202)

📍

Updated Business Mailing Address January 31, 2011

Registered at PO BOX 10605, EUGENE, OR 974402605 (Tel: 5416833202)

👤

Provider Name / Credentials Updated January 31, 2011

Recorded as DIANE BAIRD, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2011

Dermatology (License #MD19050 in OR)

🟢

Initial NPI Registration & Enumeration June 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891734448

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 06, 2006

Last Update: January 31, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 10605

Eugene, OR 974402605

Phone: 5416833202

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.