Etzel, Justin

Etzel, Justin is an sole proprietor health care provider with primary practice located at 1011 Valley River Way Ste 110 , Eugene OR 97401-2127. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Etzel, Justin can be contacted via phone (541) 762-2763.

Contact Information

Primary practice address
1011 Valley River Way Ste 110 Eugene OR 97401-2127
Phone: (541) 762-2763
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X MD208110 Oregon
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD208110 Oregon

Profile Details

NPI number 1588168488
LBN Legal business name Etzel, Justin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2018
Last updated Sep 25th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588168488 NPPES
Oregon MEDICAID 500807814

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