Healthcare Provider Details

I. General information

NPI: 1952180523
Provider Name (Legal Business Name): VIVIANNE SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2023
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3579 FRANKLIN BLVD
EUGENE OR
97403-2356
US

IV. Provider business mailing address

3579 FRANKLIN BLVD
EUGENE OR
97403-2356
US

V. Phone/Fax

Practice location:
  • Phone: 541-344-9411
  • Fax:
Mailing address:
  • Phone: 541-344-9411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number10020123
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: