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Contact Information

TRANSFORM HEALTH LLC
1200 EXECUTIVE PKWY STE 260
EUGENE, OR97401-2199
 Phone: 503-754-6743
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for TRANSFORM HEALTH LLC · (Female)

NPI # 1568003887
Status Active
Credentials
Entity Individual
Enumeration date 10/08/2019
Last updated 10/08/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • OR Medicaid 1033319124
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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