Healthcare Provider Details

I. General information

NPI: 1295556686
Provider Name (Legal Business Name): THY CARE CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2024
Last Update Date: 10/18/2024
Certification Date: 10/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 E BROADWAY STE 303
EUGENE OR
97401-3154
US

IV. Provider business mailing address

1292 HIGH ST UNIT A3086
EUGENE OR
97401-3238
US

V. Phone/Fax

Practice location:
  • Phone: 541-321-6828
  • Fax:
Mailing address:
  • Phone: 541-321-6828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
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: DR. ALEXANDER SAUL CARDENAS
Title or Position: OWNER/PROVIDER
Credential: MD, MA
Phone: 541-321-6828