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Contact Information

AESTHETIC SURGERY CENTER OF EUGENE INC
2550 WILLAKENZIE RD
EUGENE, OR97401-7865
 Phone: 541-434-0922
 Fax: 541-434-4369
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
Indicates primary specialty

NPI Profile & details for AESTHETIC SURGERY CENTER OF EUGENE INC

NPI Number 1174520191
LBN Legal business name AESTHETIC SURGERY CENTER OF EUGENE INC
Authorized official BLAKE FAUSETT - (OWNER/MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/05/2005
Last updated 06/05/2025 - More than a year ago
Identifiers
OR License # 071545
OR Medicaid 298045
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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