Healthcare Provider Details

I. General information

NPI: 1588174619
Provider Name (Legal Business Name): TURNINGPOINT LYMPHEDEMA CLINIC AND CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2017
Last Update Date: 09/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

74 E 18TH AVE STE 10
EUGENE OR
97401-4081
US

IV. Provider business mailing address

74 E 18TH AVE STE 10
EUGENE OR
97401-4081
US

V. Phone/Fax

Practice location:
  • Phone: 541-344-1038
  • Fax: 541-344-1605
Mailing address:
  • Phone: 541-344-1038
  • Fax: 541-344-1605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number06353
License Number StateOR

VII. Legacy identifiers

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

VIII. Authorized Official

Name: MR. JOHN FULLER BECKWITH
Title or Position: OWNER
Credential: PT
Phone: 240-350-5180