Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 000030075N7 | OR |
NPI | 1013061654 |
---|---|
Provider Name | Mrs. Patricia Lynn Eich |
First Address | Albany, OR 97321-3660 |
Second Address | Salem, OR 97301-4532 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2007 |
Last Update Date | 08/07/2007 |