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:
Health care specialties
| Specialty | Code | License # | 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 last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205823036 | NPPES |
| Oregon | MEDICAID | 500666195 |
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