Healthcare Provider Details
I. General information
NPI: 1700527421
Provider Name (Legal Business Name): TRANSITION HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/05/2022
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1590 WILLAMETTE ST
EUGENE OR
97401-4048
US
IV. Provider business mailing address
1590 WILLAMETTE ST
EUGENE OR
97401-4048
US
V. Phone/Fax
- Phone: 541-357-7594
- Fax: 503-343-6242
- Phone: 541-357-7594
- Fax: 503-343-6242
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251V00000X |
| Taxonomy | Voluntary or Charitable Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KYLE
M
KURZET
Title or Position: EXECUTIVE DIRECTOR
Credential: MD
Phone: 541-357-7594