Scadlock, Nathan Wayne
Scadlock, Nathan Wayne is an individual health care provider with primary practice located at 1650 Chambers St , Eugene OR 97402-3636. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as his primary health care specialty. Scadlock, Nathan Wayne can be contacted via phone (541) 686-1711.Contact Information
Primary practice address
1650 Chambers St
Eugene OR 97402-3636
Phone: (541) 686-1711
Fax: (541) 686-6018
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 201900807NP-PP | Oregon |
Profile Details
| NPI number | 1235571936 |
|---|---|
| LBN Legal business name | Scadlock, Nathan Wayne |
| Credentials | DNP, ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2013 |
| Last updated | Jun 11th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235571936 | NPPES |
| Oregon | MEDICAID | 500760659 |
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