Doctor Name: | MRS. PATRICIA LYNN EICH |
NPI Number: | 1013061654 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 000030075N7 |
Business Practice Address: | 3180 Center St Ne Salem, OR - 973014532 |
Business Phone Number: | 5035885355 |
Business Fax Number: | 5035854995 |
Mailing Address: | 6218 Looney Ln Sw, ALBANY |
State: | OR |
Postal Code: | 973213660 |
Phone Number: | 5035885355 |
Fax Number: | 5035854995 |
NPI Enumeration Date: | 01/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 000030075N7 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |