Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | MD23833 | OR |
NPI | 1063437127 |
---|---|
Provider Name | Dr. Audrey Paige Garrett |
First Address | Eugene, OR 97401-6036 |
Second Address | Eugene, OR 97401-6036 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 04/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
286372 | (05) | OR |
G89894 | (02) | OR |