Churchill, Elizabeth P

Churchill, Elizabeth P is an individual health care provider with primary practice located at 1200 Hilyard St , Eugene OR 97401-8122. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Churchill, Elizabeth P can be contacted via phone (541) 744-0828.

Contact Information

Primary practice address
1200 Hilyard St Eugene OR 97401-8122
Phone: (541) 744-0828
Fax: (541) 687-6214
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 76036597N6 Oregon

Profile Details

NPI number 1831168756
LBN Legal business name Churchill, Elizabeth P
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 2nd, 2012 - about 12 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 1831168756 NPPES
Oregon MEDICAID 015086

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