Provider Demographics
NPI:1710305214
Name:CHENG, GUIFEN (LMT)
Entity Type:Individual
Prefix:
First Name:GUIFEN
Middle Name:
Last Name:CHENG
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1125 LEIGH ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-5206
Mailing Address - Country:US
Mailing Address - Phone:501-813-0513
Mailing Address - Fax:
Practice Address - Street 1:1125 LEIGH ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-5206
Practice Address - Country:US
Practice Address - Phone:501-813-0513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-01
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR20322173C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist