Healthcare Provider Details

I. General information

NPI: 1053150979
Provider Name (Legal Business Name): MEAGAN ROBBINS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2024
Last Update Date: 05/21/2024
Certification Date: 05/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

87380 HALDERSON RD
EUGENE OR
97402-9226
US

IV. Provider business mailing address

87380 HALDERSON RD
EUGENE OR
97402-9226
US

V. Phone/Fax

Practice location:
  • Phone: 541-729-8583
  • Fax:
Mailing address:
  • Phone: 541-729-8583
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
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:
Title or Position:
Credential:
Phone: