Oak Street Medical P.c.

NPI #1144212499 in Eugene, Oregon

Provider Information

NPI Number: 1144212499
Entity Type: Organization
Organization Name: Oak Street Medical P.c.
Primary Specialty: Allergy & Immunology
Enumeration Date: Aug 22, 2005
Last Updated: Jan 6, 2011

Practice Location

Address: 1488 OAK ST
City: Eugene
State: Oregon
ZIP Code: 97401-4043
Phone: (541) 683-1577

Authorized Official

Name: KRAIG WARREN JACOBSON, M.D.
Title: PHYSICIAN / OWNER
Phone: (541) 683-1577

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Allergy & Immunology	207K00000X	Primary

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