Healthcare Provider Details

I. General information

NPI: 1093730186
Provider Name (Legal Business Name): CHRISTINE HURST NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 03/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

590 COUNTRY CLUB PKWY STE A
EUGENE OR
97401-6025
US

IV. Provider business mailing address

PO BOX 70368
EUGENE OR
97401-0120
US

V. Phone/Fax

Practice location:
  • Phone: 541-683-1559
  • Fax: 541-683-1709
Mailing address:
  • Phone: 541-683-1559
  • Fax: 541-683-1709

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: