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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

NPI Number 1568003887
LBN Legal business name TRANSFORM HEALTH LLC
Authorized official GREGORY PHILLIPS - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/08/2019
Last updated 10/08/2019 - About 7 years ago
Identifiers
OR Medicaid 1033319124
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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