Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | MD16207 | OR |
NPI | 1033139688 |
---|---|
Provider Name | Scott Cherne |
First Address | Eugene, OR 97440-2888 |
Second Address | Eugene, OR 97401-1601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 05/03/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
004748001 | BC/BS OF OREGON (01) | OR |
012381-003 | PACIFICARE/SECURE HORIZON (01) | OR |
043356 | (05) | OR |
30152505 | TEXAS CONTROLLED SUBSTANCES CERTIFICATE (01) | TX |
E46699 | (02) | OR |
M6081 | MEDICAL STATE LICENSE (01) | TX |