Provider Demographics
NPI:1093713505
Name:BALDWIN-THOMAS, VALERIE (APRN, ACNP, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:BALDWIN-THOMAS
Suffix:
Gender:F
Credentials:APRN, ACNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:687 CHESHIRE AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-5060
Mailing Address - Country:US
Mailing Address - Phone:541-684-4100
Mailing Address - Fax:541-684-4156
Practice Address - Street 1:195 W 12TH AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-3408
Practice Address - Country:US
Practice Address - Phone:541-762-4400
Practice Address - Fax:541-684-4156
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT2025882084P0800X, 363LP0808X
TX537618363LA2100X, 363LP0808X, 364SM0705X
OR201508867NP-PP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No364SM0705XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistMedical-Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX153654203Medicaid
TX153654204Medicaid
TX867N45OtherBCBS
TX153654203Medicaid
TXTXB143380Medicare PIN