Provider Demographics
NPI:1154456002
Name:CHOICES FOR HEALTH PC
Entity Type:Organization
Organization Name:CHOICES FOR HEALTH PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTSECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:GAYLE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HAND
Authorized Official - Suffix:
Authorized Official - Credentials:ANP
Authorized Official - Phone:541-431-1201
Mailing Address - Street 1:1510 MILL ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-4258
Mailing Address - Country:US
Mailing Address - Phone:541-431-1201
Mailing Address - Fax:541-683-4405
Practice Address - Street 1:390 W 12TH AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-3301
Practice Address - Country:US
Practice Address - Phone:541-683-4404
Practice Address - Fax:541-683-4405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty