Individual
JAN K LINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3525 HILYARD ST STE 600, EUGENE, OR 97405-3866
(541) 687-8581
(541) 343-1411
Mailing address
3525 HILYARD ST, EUGENE, OR 97405-3866
(541) 687-8581
(541) 343-1411
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
280
MT
363A00000X
Physician Assistant
Primary
PA01323
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000095553
BCBS PROV NUMBER
MT
Enumeration date
06/28/2006
Last updated
12/02/2019
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