Healthcare Provider Details

I. General information

NPI: 1619575008
Provider Name (Legal Business Name): JANNA MARIE CHECK PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2020
Last Update Date: 07/26/2024
Certification Date: 10/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 S. GARDEN WAY SUITE 100
EUGENE OR
97401
US

IV. Provider business mailing address

330 S. GARDEN WAY SUITE 100
EUGENE OR
97401
US

V. Phone/Fax

Practice location:
  • Phone: 541-607-0897
  • Fax:
Mailing address:
  • Phone: 715-321-1826
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
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: