Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wild Rose Medical Clinic PC

Organization Family Medicine Physician · NPI 1083762637

Wild Rose Medical Clinic PC is a Family Medicine Physician in Eugene, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

401 E 10th Ave Ste 250
Eugene, OR 97401-3317
Phone: (541) 686-4153
Fax: (541) 686-3468
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 16009 (OR)

Record details

NPI number1083762637
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Cordes — President · (541) 686-4153
NPI enumeratedJanuary 8, 2007
Last updated in NPPESOctober 10, 2007
Mailing address401 E 10th Ave, Suite 250, Eugene, OR 97401-3317

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