Healthcare Provider Details

I. General information

NPI: 1275997967
Provider Name (Legal Business Name): JULIA M KUHN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2016
Last Update Date: 12/25/2021
Certification Date: 12/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

992 COUNTRY CLUB RD
EUGENE OR
97401-6023
US

IV. Provider business mailing address

992 COUNTRY CLUB RD STE 101
EUGENE OR
97401-6023
US

V. Phone/Fax

Practice location:
  • Phone: 541-687-1715
  • Fax:
Mailing address:
  • Phone: 541-687-1715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberRS2019-0883
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD195296
License Number StateOR

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: