Provider Demographics
NPI:1184401093
Name:SKINNER, LENORE (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:LENORE
Middle Name:
Last Name:SKINNER
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 HILYARD ST STE 570
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-8168
Mailing Address - Country:US
Mailing Address - Phone:458-205-7070
Mailing Address - Fax:
Practice Address - Street 1:1200 HILYARD ST STE 310
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-8122
Practice Address - Country:US
Practice Address - Phone:458-205-6709
Practice Address - Fax:458-205-6708
Is Sole Proprietor?:No
Enumeration Date:2023-09-13
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10015741363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health