Chinn, Kathleen T

Chinn, Kathleen T is an individual health care provider with primary practice located at 4010 Aerial Way , Eugene OR 97402-9757. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Chinn, Kathleen T can be contacted via phone (541) 686-3810.

Contact Information

Primary practice address
4010 Aerial Way Eugene OR 97402-9757
Phone: (541) 686-3810
Fax: (541) 686-6370
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200050065NP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 200050065NP Oregon

Profile Details

NPI number 1649249681
LBN Legal business name Chinn, Kathleen T
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Mar 11th, 2010 - about 15 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 1649249681 NPPES
Oregon MEDICAID 287554

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