WHOLISTIC WELLNESS OF THE WEST LLC NPI 1093413452

NPI Information

  • NPI: 1093413452
  • Provider Name: WHOLISTIC WELLNESS OF THE WEST LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 1755 COBURG RD UNIT 401
    EUGENE, OR
    ZIP 97401
  • Phone: (541) 255-3905

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NPI Details

WHOLISTIC WELLNESS OF THE WEST LLC is a family nurse practitioner in Eugene, OR. WHOLISTIC WELLNESS OF THE WEST LLC NPI is 1093413452. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1755 COBURG RD UNIT 401
EUGENE, OR
ZIP 97401-984
Phone: (541) 255-3905
Fax: (541) 255-3959

The provider's authorized official is Kimberlee Warner .
The authorized official title is Admin and has the following contact phone number (541) 255-3905.

The enumeration date for this NPI number is 2/15/2023 and was last updated on 2/15/2023.

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
1363LF0000XNurse PractitionerFamilyYes

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 Other Provider Identifier Issuer
1137345MEDICAIDOREGON

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: 3/30/2025

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