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Individual

MS. KATHLEEN TRESA CHINN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
520 COUNTRY CLUB ROAD, EUGENE, OR 97401
(541) 683-5001
(541) 683-1422
Mailing address
3500 CHAD DRIVE, SUITE 300, EUGENE, OR 97408
(541) 687-5443
(541) 683-1422

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200050065NP
OR
363LG0600X
Gerontology Nurse Practitioner
200050065NP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
287554
OR
Enumeration date
03/14/2006
Last updated
11/21/2025
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