Healthcare Provider Details

I. General information

NPI: 1902096670
Provider Name (Legal Business Name): JO ANNE MARIE GARWOOD R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2007
Last Update Date: 04/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 W 23RD AVE
EUGENE OR
97405-1474
US

IV. Provider business mailing address

2525 W 23RD AVE
EUGENE OR
97405-1474
US

V. Phone/Fax

Practice location:
  • Phone: 541-505-8880
  • Fax: 541-654-0188
Mailing address:
  • Phone: 541-505-8880
  • Fax: 541-654-0188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number000029889RN
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: