OrganizationActive
Oregon Tlc
NPI 1174871552 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Eugene, OR
Provider details
- NPI number
- 1174871552
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jelena Blackburn, Vice President(541) 255-1213
- License
- 22132 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
132 E Broadway
Suite 716
Eugene, OR 97401-3143
Phone: (541) 255-1213
Approximate (ZIP-level) locationGet directions
Mailing address
132 E Broadway
Eugene, OR 97401-3143
Registry dates
- Enumerated
- 2012-08-16
- Last updated
- 2012-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.