Healthcare Provider Details

I. General information

NPI: 1285312249
Provider Name (Legal Business Name): MRS. PATRICIA ELIZABETH OCHS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PATRICIA ELIZABETH ROBERTS

II. Dates (important events)

Enumeration Date: 07/10/2023
Last Update Date: 07/10/2023
Certification Date: 07/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2589 NW EDENBOWER BLVD
ROSEBURG OR
97471-6224
US

IV. Provider business mailing address

2589 NW EDENBOWER BLVD
ROSEBURG OR
97471-6224
US

V. Phone/Fax

Practice location:
  • Phone: 541-672-8533
  • Fax:
Mailing address:
  • Phone: 541-672-8533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: