Organization
KENNETH E ZIMMERMAN PMHNP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH E ZIMMERMAN (OWNER)
(541) 912-1295
Entity
Organization
Contact information
Practice address
66 CLUB RD STE 360, EUGENE, OR 97401-2463
(541) 912-1295
(541) 972-8779
Mailing address
66 CLUB RD STE 360, EUGENE, OR 97401-2463
(541) 912-1295
(541) 972-8779
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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