Healthcare Provider Details

I. General information

NPI: 1760589436
Provider Name (Legal Business Name): CATHERINE MARIE ESKEW N/A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 RIVER RD
EUGENE OR
97404-2042
US

IV. Provider business mailing address

2400 RIVER RD
EUGENE OR
97404-2042
US

V. Phone/Fax

Practice location:
  • Phone: 541-345-5395
  • Fax: 541-345-7360
Mailing address:
  • Phone: 541-345-5395
  • Fax: 541-345-7360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: