Individual
SHIRLIN GAUTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
2401 RIVER RD, STE 101, EUGENE, OR 97404
(541) 431-0631
(541) 687-8631
Mailing address
5370 DONOHOE AVE, EUGENE, OR 97402-7401
(541) 207-4835
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
CH0006445
FL
363L00000X
Nurse Practitioner
ARNP 618832
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
200550016
OR
Other
Enumeration date
02/24/2007
Last updated
06/13/2018
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