MEDICARE: MORGAN MEN'S HEALTH CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician

General Provider Information

NPI Number	:	1588479067
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORGAN MEN'S HEALTH CENTER

Provider Business Mailing Address
First Line	:	2150 MCLEAN BLVD
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97405-1783
Country	:	US
Telephone Number	:	650-743-0460
Fax Number	:

Provider Business Practice Location Address
First Line	:	2018 GARDEN AVE
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97403-1969
Country	:	US
Telephone Number	:	650-743-0460
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	DR. KELLY COLLEEN MORGAN
Credential	:	MD
Telephone Number	:	650-743-0460

Provider Enumeration Date	:	02/11/2025
Last Update Date	:	02/11/2025

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