Healthcare Provider Details

I. General information

NPI: 1407693880
Provider Name (Legal Business Name): SOPHIE SAVAGEMAGEE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2024
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 S GARDEN WAY STE 350
EUGENE OR
97401-8179
US

IV. Provider business mailing address

PO BOX 35350
LAS VEGAS NV
89133-5350
US

V. Phone/Fax

Practice location:
  • Phone: 541-746-6816
  • Fax:
Mailing address:
  • Phone: 702-579-3203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA226514
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: