Healthcare Provider Details
I. General information
NPI: 1811055437
Provider Name (Legal Business Name): DOCTORS EMERGENCY ROOM CORP PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/05/2006
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2650 SUZANNE WAY
EUGENE OR
97408-7319
US
IV. Provider business mailing address
PO BOX 920138
DALLAS TX
75392-0138
US
V. Phone/Fax
- Phone: 877-346-2211
- Fax:
- Phone: 877-346-2211
- Fax: 626-623-1227
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2083P0011X |
| Taxonomy | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician |
| License Number | |
| License Number State | OR |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QX0100X |
| Taxonomy | Occupational Medicine Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRIAN
HOYT
Title or Position: PRESIDENT
Credential: MD
Phone: 541-726-4510