Individual
MRS. JULIE LYNN PENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
995 WILLAGILLESPIE RD, SUITE #100, EUGENE, OR 97401-2186
(541) 484-5437
Mailing address
1456 COTTONWOOD AVE, SPRINGFIELD, OR 97477-7617
(541) 741-8633
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
000041824N2 PNP-PP
OR
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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