Healthcare Provider Details
I. General information
NPI: 1922568443
Provider Name (Legal Business Name): TORY L. TOLES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/21/2019
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2830 CRESCENT AVE
EUGENE OR
97408-7397
US
IV. Provider business mailing address
PO BOX 1648
EUGENE OR
97440-1648
US
V. Phone/Fax
- Phone: 541-686-9000
- Fax: 541-242-4585
- Phone: 541-242-4384
- Fax: 541-463-2820
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 11887200-1205 |
| License Number State | UT |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | MD209139 |
| License Number State | OR |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: