Individual
TRISHA C WYGANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
151 W 7TH AVE STE 310, EUGENE, OR 97401-2676
(541) 682-4041
Mailing address
1422 LUELLA ST, EUGENE, OR 97401-6920
(541) 520-6510
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
084052661RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780822692
—
OR
Enumeration date
11/15/2021
Last updated
11/15/2021
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