Individual
PHYLLIS TEMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
200 N MONROE ST, EUGENE, OR 97402-4243
(541) 686-1427
(541) 341-1693
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451
(541) 984-4301
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
85073091N1
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210911
—
OR
Enumeration date
06/18/2006
Last updated
03/11/2010
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