Doctor Name: | KEVIN MISHLER |
NPI Number: | 1013325612 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RN |
License Number: | 086003303RN |
Business Practice Address: | 151 W 7th Ave Ste 163 Eugene, OR - 974012676 |
Business Phone Number: | 5416824464 |
Business Fax Number: | |
Mailing Address: | 151 W 7th Ave Ste 163, EUGENE |
State: | OR |
Postal Code: | 974012676 |
Phone Number: | 5416824464 |
Fax Number: | |
NPI Enumeration Date: | 07/27/2014 |
NPI Last Update Date: | 07/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 086003303RN |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |