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WILD ROSE MEDICAL CLINIC PC
NPI 1083762637
Family Medicine in Eugene, OR

Active since January 08, 2007
401 E 10TH AVE, SUITE 250, EUGENE, OR 97401(541) 686-4153(541) 686-3468 Get Directions Write a Review

NPPES record last updated: October 10, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wild Rose Medical Clinic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILD ROSE MEDICAL CLINIC PC (NPI 1083762637) is a healthcare organization registered as a family medicine in Eugene, Oregon and active in the NPI registry since January 2007. The organization lists Kathleen Cordes, President, as its authorized official.

NPPES Registry Identity

NPI1083762637
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWILD ROSE MEDICAL CLINIC PC
Location Address401 E 10TH AVE, SUITE 250Eugene, OR 97401-3317
Mailing Address401 E 10th Ave, Suite 250Eugene, OR 97401-3317 · (541) 686-4153 · Fax (541) 686-3468
Phone(541) 686-4153
Fax(541) 686-3468
Organization SubpartNo
Authorized OfficialKathleen CordesPresident · (541) 686-4153
Enumeration DateJanuary 8, 2007
Last NPPES UpdateOctober 10, 2007
✔ NPI 1083762637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OR · 16009
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
401 E 10TH AVE, Eugene, OR 97401
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Other Identifiers 4

Medicare PINR131120OR
Medicare UPINC45172OR
Medicare ID-Type UnspecifiedP00193941OR · Rail Road Medicare
Medicaid072173OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GARY E CARPENTER SR. DMD
Dentist
401 E 10TH AVE, SUITE 210
EUGENE, OR 97401
Lane County (541) 344-3333
GAIL H. LESLIE AU.D.
Audiologist-Hearing Aid Fitter
401 E 10TH AVE, SUITE 110
EUGENE, OR 97401
Lane County (541) 686-3505
ARBOR CHIROPRACTIC
Chiropractor
401 E 10TH AVE, SUITE 320
EUGENE, OR 97401
Lane County (541) 484-0105
DR. SHAWN M ARBOR D.C.
Chiropractor
401 E 10TH AVE, SUITE 400
EUGENE, OR 97401
Lane County (541) 484-0105
DR. PHILIP BRADLEY STOCKSTAD O.D.
Optometrist
401 E 10TH AVE, SUITE 160
EUGENE, OR 97401
Lane County (541) 683-2224
SANDI L.B. YBARRA AU.D.
Audiologist-Hearing Aid Fitter
401 E 10TH AVE, SUITE 110
EUGENE, OR 97401
Lane County (541) 686-3505
MISS ANDREA GOERING LMT
Specialist
401 E 10TH AVE, SUITE 200
EUGENE, OR 97401
Lane County (913) 530-1062
ROBYN PESTER PHYSICAL THERAPY INC.
Physical Therapist
401 E 10TH AVE, SUITE 250
EUGENE, OR 97401
Lane County (541) 344-6744

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wild Rose Medical Clinic PC's NPI number?

The NPI number for Wild Rose Medical Clinic PC is 1083762637. It was assigned to this organization in the NPPES registry on January 8, 2007.

Where is Wild Rose Medical Clinic PC located?

Wild Rose Medical Clinic PC is located at 401 E 10th Ave Suite 250, Eugene, OR 97401. The listed phone number is (541) 686-4153.

What is Wild Rose Medical Clinic PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Wild Rose Medical Clinic PC was last updated on October 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.