Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Wild Rose Medical Clinic PC

Organization Family Medicine Physician · NPI 1083762637

Wild Rose Medical Clinic PC provides Family Medicine Physician services 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 Not confirmed with CMS for 18 years — call before visiting
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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