Individual
MS. JACQUELINE KAY LOUTZENHEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
520 COUNTRY CLUB ROAD, EUGENE, OR 97401
(541) 683-5001
(541) 683-1422
Mailing address
3500 CHAD DRIVE STE 300, EUGENE OREGON 97408, EUGENE, OR 97408
(541) 687-5443
(541) 683-1422
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA217062
OR
Other
Enumeration date
08/09/2023
Last updated
11/08/2024
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