EUGENE PEDIATRIC ASSOCIATES
NPI 1477912889
Clinic/Center - Health Service in Eugene, OR

Active since February 12, 2016CLIA 38D2019310 · Microscopy
995 WILLAGILLESPIE RD, SUITE 100, EUGENE, OR 97401(541) 246-9106(541) 343-7360 Get Directions Write a Review

NPPES record last updated: February 12, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eugene Pediatric Associates NPPES

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

EUGENE PEDIATRIC ASSOCIATES (NPI 1477912889) is a healthcare organization registered as a health service in Eugene, Oregon and active in the NPI registry since February 2016. The organization holds a CLIA Microscopy certificate valid through January 26, 2027 and lists Maryann Potter, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1477912889
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameEUGENE PEDIATRIC ASSOCIATES
Location Address995 WILLAGILLESPIE RD, SUITE 100Eugene, OR 97401-2186
Mailing Address995 Willagillespie Rd, Suite 100Eugene, OR 97401-2186 · (541) 246-9106 · Fax (541) 343-7360
Fax(541) 343-7360
Organization SubpartNo
Authorized OfficialMaryann PotterCredentialing Specialist · (541) 246-9106
Enumeration DateFebruary 12, 2016
NPI 1477912889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
995 WILLAGILLESPIE RD, Eugene, OR 97401

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 38D2019310

Eugene Pediatric Associates · Eugene, OR
Active · expires Jan 26, 2027
CLIA Number38D2019310
Laboratory TypePhysician Office
Certificate Effective DateJanuary 27, 2025
Certificate Expiration DateJanuary 26, 2027
Laboratory DirectorPilar A Bradshaw MD
Laboratory Phone(541) 484-5437
Laboratory LocationEugene Pediatric Associates995 Willagillespie Road #100, Eugene, OR 97401
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner (Pediatrics)
995 WILLAGILLESPIE RD, SUITE #100
EUGENE, OR 97401
Pediatrics
995 WILLAGILLESPIE RD, STE 200
EUGENE, OR 97401
Psychiatry & Neurology (Psychiatry)
995 WILLAGILLESPIE RD
EUGENE, OR 97401
Dentist (Orthodontics and Dentofacial Orthopedics)
995 WILLAGILLESPIE RD, SUITE 400
EUGENE, OR 97401
Pediatrics
995 WILLAGILLESPIE RD
EUGENE, OR 97401
Pediatrics
995 WILLAGILLESPIE RD, STE 200
EUGENE, OR 97401
Pediatrics (Adolescent Medicine)
995 WILLAGILLESPIE RD, SUITE 100
EUGENE, OR 97401
Audiologist-Hearing Aid Fitter
995 WILLAGILLESPIE RD, SUITE 300
EUGENE, OR 97401

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 Eugene Pediatric Associates's NPI number?

The NPI number for Eugene Pediatric Associates is 1477912889. It was assigned to this organization in the NPPES registry on February 12, 2016.

Where is Eugene Pediatric Associates located?

Eugene Pediatric Associates is located at 995 Willagillespie Rd Suite 100, Eugene, OR 97401. The listed phone number is (541) 246-9106.

What is Eugene Pediatric Associates's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Eugene Pediatric Associates hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 38D2019310) is associated with this NPI, valid through January 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eugene Pediatric Associates was last updated on February 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.