MEDICARE: M JOSHUA HABER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QS0010X	Sports Medicine (Family Medicine) Physician	MD18811	OR
2	208VP0000X	Pain Medicine Physician	MD18811	OR

General Provider Information

NPI Number	:	1477667053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	M JOSHUA HABER M.D.

Provider Business Mailing Address
First Line	:	1056 GREEN ACRES RD STE 102-341
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97408-1505
Country	:	US
Telephone Number	:	541-800-8970
Fax Number	:	541-685-4282

Provider Business Practice Location Address
First Line	:	1605 OAK ST
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97401-4022
Country	:	US
Telephone Number	:	541-800-8970
Fax Number	:	541-844-1570

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	05/16/2023

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