Healthcare Provider Details

I. General information

NPI: 1992836522
Provider Name (Legal Business Name): REHABILITATION MEDICINE ASSOCIATES OF EUGENE-SPRINGFIELD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

242 COUNTRY CLUB RD
EUGENE OR
97401-2477
US

IV. Provider business mailing address

242 COUNTRY CLUB RD
EUGENE OR
97401-2477
US

V. Phone/Fax

Practice location:
  • Phone: 541-683-4242
  • Fax: 541-343-5078
Mailing address:
  • Phone: 541-683-4242
  • Fax: 541-343-5078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. KATHERINE ANNETTE WELLER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 541-683-4242