Individual
ERIC JAY LESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2484 RIVER RD, EUGENE, OR 97404-2042
(541) 222-7650
(541) 222-7676
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451
(541) 984-4301
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA153391
OR
363AM0700X
Medical Physician Assistant
PA15175
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881645158
NPI FOR SEASIDE CLINIC
CA
01
—
FHC70530F
MEDI-CAL GRP FQHC
CA
Enumeration date
07/25/2006
Last updated
08/05/2011
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