Healthcare Provider Details

I. General information

NPI: 1053131276
Provider Name (Legal Business Name): JOHN ROWER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/14/2024
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

770 E 11TH AVE
EUGENE OR
97401-3746
US

IV. Provider business mailing address

PO BOX 657
JUNCTION CITY OR
97448-0657
US

V. Phone/Fax

Practice location:
  • Phone: 458-205-7001
  • Fax:
Mailing address:
  • Phone: 541-729-5160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number10043884
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number201605730RN
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: