Healthcare Provider Details

I. General information

NPI: 1740667419
Provider Name (Legal Business Name): EMMA SACHS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2015
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 E 10TH AVE STE 250
EUGENE OR
97401-3362
US

IV. Provider business mailing address

401 E 10TH AVE STE 250
EUGENE OR
97401-3362
US

V. Phone/Fax

Practice location:
  • Phone: 541-246-9567
  • Fax: 541-253-8665
Mailing address:
  • Phone: 541-246-9567
  • Fax: 541-253-8665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDO195167
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: