Healthcare Provider Details

I. General information

NPI: 1366478166
Provider Name (Legal Business Name): JAMES THOMAS AKINS JR. PMHNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2411 MLK JR BLVD
EUGENE OR
97401-5824
US

IV. Provider business mailing address

2073 OLYMPIC ST
SPRINGFIELD OR
97477-3413
US

V. Phone/Fax

Practice location:
  • Phone: 541-682-3608
  • Fax:
Mailing address:
  • Phone: 541-682-6528
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number200450008NP
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: