Healthcare Provider Details

I. General information

NPI: 1841467347
Provider Name (Legal Business Name): ERIC R. MULLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2008
Last Update Date: 04/28/2023
Certification Date: 04/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3311 RIVERBEND DR
SPRINGFIELD OR
97477-8800
US

IV. Provider business mailing address

PO BOX 24410
EUGENE OR
97402
US

V. Phone/Fax

Practice location:
  • Phone: 541-484-4332
  • Fax:
Mailing address:
  • Phone: 877-202-3597
  • Fax: 360-729-2724

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD170237
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD170237
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: