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NPI 1831011535

NPI 1831011535 : EUGENE SOUTH OF OLYMPUS, LLC : EUGENE, OR

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General NPI Number Information
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    NPI Number           |    1831011535
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    Entity Type          |    Organization 
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    Legal Business Name  |    EUGENE SOUTH OF OLYMPUS, LLC 
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Dates
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    Enumeration Date     |    07/27/2026
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    Last Update Date     |    07/29/2026
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Provider Practice Location Address
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    Address Line         |    5320 FOX HOLLOW RD 
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    City                 |    EUGENE
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    State                |    OR
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    Zip                  |    97405-4049
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    Country              |    US
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    Telephone            |    541-246-6596
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5320 FOX HOLLOW RD 
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    City                 |    EUGENE
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    State                |    OR
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    Zip                  |    97405-4049
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    Country              |    US
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    Telephone            |    208-401-9600
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     OWEN  HAMMOND 
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    Credential           |    
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    Telephone            |    208-401-9600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    310400000X
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    Taxonomy Name        |    Assisted Living Facility
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    License Number       |    
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    License Number State |    
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