Individual
MS. ELIZABETH P CHURCHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1200 HILYARD ST, EUGENE, OR 97401-8122
(541) 744-0828
(541) 687-6214
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451
(541) 984-4301
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
76036597N6
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015086
—
OR
Enumeration date
03/14/2006
Last updated
07/02/2012
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