Active NPIIndividual provider

Mr. Roy M Blackburn, MD

Physical Medicine & Rehabilitation in Eugene, Oregon

NPI Number1316907629
Practice location
2401 River Road, Suite 101, Eugene, OR 97404
Fax
541-687-8631
Last updated
August 20, 2012

Mr. Roy M Blackburn, MD is a Physical Medicine & Rehabilitation based in Eugene, OR. Mr. Roy M Blackburn, MD holds the professional credentials of MD. The NPI number for Mr. Roy M Blackburn, MD is 1316907629 and holds license No. MD22132 (OR). The current practice location address is 2401 River Road, Suite 101, Eugene, OR 97404 and the office can be reached by phone at 541-344-8469 and by fax at 541-687-8631. The NPI was assigned on March 23, 2006 and the record was last updated in NPPES on August 20, 2012.

●Provider Profile Details

NPI Number
1316907629
Provider Name
Roy M Blackburn
Credential
MD
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Physical Medicine & Rehabilitation · 208100000X
Sole Proprietor
No
Enumeration Date
March 23, 2006
Last Update Date
August 20, 2012
NPI Status
Active

◉Business Practice Location Address

Address
2401 River Road
Suite 101
Eugene, OR 97404
City
Eugene
State
Oregon
ZIP
97404
Country
US
Phone Number
541-344-8469
Fax Number
541-687-8631

Get directions →

✉Business Mailing Address

Address
Po Box 849095
Dallas, TX 75284-9095
City
Dallas
State
TX
ZIP
75284-9095
Phone Number
541-344-8469
Fax Number
541-687-8631

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Physical Medicine & Rehabilitation208100000XYesMD22132OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Mr. Roy M Blackburn, MD?

The NPI number of Mr. Roy M Blackburn, MD is 1316907629. It was assigned on March 23, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Roy M Blackburn, MD?

Mr. Roy M Blackburn, MD is registered under the primary taxonomy Physical Medicine & Rehabilitation (code 208100000X) and holds license No. MD22132 (OR).

Where does Mr. Roy M Blackburn, MD practice?

The practice location is 2401 River Road, Suite 101, Eugene, OR 97404. The office can be reached at 541-344-8469 (phone) or 541-687-8631 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316907629 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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