Provider Demographics
NPI:1023807252
Name:TWOMBLY, PATRICIA DIANE (LPN)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:DIANE
Last Name:TWOMBLY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97404-5414
Mailing Address - Country:US
Mailing Address - Phone:541-916-7025
Mailing Address - Fax:541-916-7048
Practice Address - Street 1:2401 RIVER RD
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97404-5414
Practice Address - Country:US
Practice Address - Phone:541-916-7025
Practice Address - Fax:541-916-7048
Is Sole Proprietor?:No
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201402422LPN164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse