Provider Demographics
NPI:1235455890
Name:SCHWARTZ, BARBARA L (LMT)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:L
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:MS
Other - First Name:LYNNE
Other - Middle Name:
Other - Last Name:SCHWARTZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMT
Mailing Address - Street 1:377 W 8TH AVE
Mailing Address - Street 2:#307
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-2889
Mailing Address - Country:US
Mailing Address - Phone:541-684-4963
Mailing Address - Fax:
Practice Address - Street 1:377 W 8TH AVE
Practice Address - Street 2:#307
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2889
Practice Address - Country:US
Practice Address - Phone:541-684-4963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-07
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR11746171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor