Individual
DR. NATHAN WAYNE SCADLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, ARNP
Contact information
Practice address
1650 CHAMBERS ST, EUGENE, OR 97402-3636
(541) 686-1711
(541) 686-6018
Mailing address
PO BOX 1648, EUGENE, OR 97440-1648
(541) 687-4900
(541) 463-2820
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
201900807NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500760659
—
OR
Enumeration date
07/23/2013
Last updated
06/11/2019
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