Healthcare Provider Details

I. General information

NPI: 1013309764
Provider Name (Legal Business Name): SHARON HUFF
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2015
Last Update Date: 03/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

590 COUNTRY CLUB PKWY STE A
EUGENE OR
97401-6025
US

IV. Provider business mailing address

590 COUNTRY CLUB PKWY STE A
EUGENE OR
97401-6025
US

V. Phone/Fax

Practice location:
  • Phone: 541-683-1559
  • Fax:
Mailing address:
  • Phone: 541-683-1559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR1000X
TaxonomyReproductive Endocrinology/Infertility Registered Nurse
License Number200341121RN
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: