JOHN CHARLES EUBANKS NPI 1194209403

NPI Information

NPI: 1194209403
Provider Name: JOHN CHARLES EUBANKS
Classification: Registered Nurse - 163WP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

Address:
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR
ZIP 97239
Phone: (503) 273-5049
Get Directions

John Charles Eubanks is a psychiatric/mental health and adult registered nurse in Portland, OR. John Charles Eubanks NPI is 1194209403. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR
ZIP 97239-964
Phone: (503) 273-5049

The enumeration date for this NPI number is 9/21/2018 and was last updated on 9/21/2018.

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	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	201806106RN	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	Other Provider Identifier Issuer
1	201806106RN	OTHER	OREGON	OREGON NURSING LICENSE

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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