Healthcare Provider Details

I. General information

NPI: 1265274047
Provider Name (Legal Business Name): EMILY THIMESCHE CHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2024
Last Update Date: 06/11/2024
Certification Date: 06/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

654 CHERRY DR APT 2
EUGENE OR
97401-5769
US

IV. Provider business mailing address

654 CHERRY DR APT 2
EUGENE OR
97401-5769
US

V. Phone/Fax

Practice location:
  • Phone: 925-640-7395
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: