Organization
MY SCHOOL'S HEALTH CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAXINE PROSKUROWSKI MSRN (PROGRAM MANAGER)
(541) 790-7215
Entity
Organization
Contact information
Practice address
200 SILVER LN, EUGENE, OR 97404-2216
(541) 790-4445
(541) 790-4446
Mailing address
120 W HILLIARD AVENUE, EUGENE, OR 97404-3012
(541) 790-7216
(541) 790-7217
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
5043
OR
363LF0000X
Family Nurse Practitioner
Primary
201050226NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2276647
OMAP #
OR
Enumeration date
06/29/2007
Last updated
01/21/2015
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