Healthcare Provider Details

I. General information

NPI: 1467517086
Provider Name (Legal Business Name): THOMAS E HINZ RNFA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5430 DONALD ST
EUGENE OR
97405-4018
US

IV. Provider business mailing address

5430 DONALD ST.
EUGENE OR
97405-4018
US

V. Phone/Fax

Practice location:
  • Phone: 541-683-7204
  • Fax:
Mailing address:
  • Phone: 541-683-7204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: