Provider Demographics
NPI:1649091646
Name:EINRI, JOSEPH OLIVER (RN)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:OLIVER
Last Name:EINRI
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 51226
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-0904
Mailing Address - Country:US
Mailing Address - Phone:503-858-5688
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 51226
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-0904
Practice Address - Country:US
Practice Address - Phone:503-858-5688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR20211136RN163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse