Healthcare Provider Details

I. General information

NPI: 1922101807
Provider Name (Legal Business Name): CARA LYNN CHAPMAN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CARA LYNN MOWRY

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 08/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 E 10TH AVE SUITE 330
EUGENE OR
97401-3317
US

IV. Provider business mailing address

401 E 10TH AVE SUITE 330
EUGENE OR
97401-3317
US

V. Phone/Fax

Practice location:
  • Phone: 541-868-2004
  • Fax: 541-868-2003
Mailing address:
  • Phone: 541-868-2004
  • Fax: 541-868-2003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number201150019NP
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: