Healthcare Provider Details

I. General information

NPI: 1740209576
Provider Name (Legal Business Name): DAVID CLINGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DAVID HADLEY CLINGER MD

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 RIVER AVE
EUGENE OR
97404-2507
US

IV. Provider business mailing address

100 RIVER AVE
EUGENE OR
97404-2507
US

V. Phone/Fax

Practice location:
  • Phone: 541-607-7427
  • Fax: 541-607-7581
Mailing address:
  • Phone: 541-607-7427
  • Fax: 541-607-7581

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number11756
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: