Healthcare Provider Details

I. General information

NPI: 1235455890
Provider Name (Legal Business Name): BARBARA L. SCHWARTZ LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LYNNE SCHWARTZ LMT

II. Dates (important events)

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

III. Provider practice location address

377 W 8TH AVE #307
EUGENE OR
97401-2889
US

IV. Provider business mailing address

377 W 8TH AVE #307
EUGENE OR
97401-2889
US

V. Phone/Fax

Practice location:
  • Phone: 541-684-4963
  • Fax:
Mailing address:
  • Phone: 541-684-4963
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number11746
License Number StateOR

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: