INFRARED BREAST HEALTHLLC NPI 1689819773

NPI Information

NPI: 1689819773
Provider Name: INFRARED BREAST HEALTH,LLC

Doing Business As: INGRID L. EDSTROM, FNP

Classification: Nurse Practitioner - 363LW0102X
Entity Type: Organization

Specialization: Women's Health

Address:
1102 HODSON LN
EUGENE, OR
ZIP 97404
Phone: (541) 302-2977
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INFRARED BREAST HEALTH,LLC is a women's health nurse practitioner in Eugene, OR. INFRARED BREAST HEALTH,LLC NPI is 1689819773. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ingrid L. Edstrom, Fnp.

The provider's business location address is:

1102 HODSON LN
EUGENE, OR
ZIP 97404-944
Phone: (541) 302-2977
Fax: (541) 302-6565

The provider's authorized official is Ingrid Large Edstrom .
The authorized official title is President/owner and has the following contact phone number (541) 302-2977.

The enumeration date for this NPI number is 12/4/2008 and was last updated on 5/5/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	200550045-NP-PP	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	269858	MEDICAID	OREGON
2	R132760	MEDICARE PIN	OREGON
3	S98121	MEDICARE UPIN	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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