Bourgault, Cheryl R

Bourgault, Cheryl R is an individual health care provider with primary practice located at 360 S Garden Way Suite 210, Eugene OR 97401-8173. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bourgault, Cheryl R can be contacted via phone (541) 683-3202.

Contact Information

Primary practice address
360 S Garden Way Suite 210 Eugene OR 97401-8173
Phone: (541) 683-3202
Fax: (541) 868-1063
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA152468 Oregon

Profile Details

NPI number 1205823036
LBN Legal business name Bourgault, Cheryl R
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Mar 27th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205823036 NPPES
Oregon MEDICAID 500666195

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