Healthcare Provider Details

I. General information

NPI: 1821279712
Provider Name (Legal Business Name): PAMELA FAITH SCHILLER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/19/2007
Last Update Date: 11/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1865 TABOR ST
EUGENE OR
97401-7254
US

IV. Provider business mailing address

1865 TABOR ST
EUGENE OR
97401-7254
US

V. Phone/Fax

Practice location:
  • Phone: 541-688-2145
  • Fax:
Mailing address:
  • Phone: 541-688-2145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: