Provider Demographics
NPI:1598841900
Name:ENGEMAN, NORMA J
Entity Type:Individual
Prefix:MS
First Name:NORMA
Middle Name:J
Last Name:ENGEMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2823 OAK ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-3649
Mailing Address - Country:US
Mailing Address - Phone:541-686-0656
Mailing Address - Fax:541-686-0656
Practice Address - Street 1:2823 OAK ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-3649
Practice Address - Country:US
Practice Address - Phone:541-686-0656
Practice Address - Fax:541-686-0656
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR044917Medicaid
OR044917Medicaid