OrganizationActive
Oregon Tlc, LLC
NPI 1043373434 · Physical Medicine & Rehabilitation Physician · Eugene, OR
Provider details
- NPI number
- 1043373434
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Roy Blackburn, President(817) 284-9850
- License
- MD22132 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
132 E Broadway
Suite 716
Eugene, OR 97401-3143
Phone: (817) 284-9850
Fax: (817) 284-3505
Street-level locationGet directions
Mailing address
132 E Broadway
Eugene, OR 97401-3143
Registry dates
- Enumerated
- 2006-12-18
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.