| NPI Details | |
|---|---|
| NPI | 1205990454 |
| Gender | Male |
| Enumeration Date | 12/21/2006 |
| Last Updated | 07/08/2007 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 2145 CENTENNIAL PLZ EUGENE OR, 97401-2421, US |
|
| Phone | (541) 485-6340 |
| Fax | (541) 984-3124 |
| Business Location | |
|---|---|
| 2145 CENTENNIAL PLZ EUGENE OR, 97401-2421, US |
|
| Phone | (541) 485-6340 |
| Fax | (541) 984-3124 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 101YM0800X |
| License State | |
| License Number | |
| Remove 1205990454 NPI Number | |
According to our database, Patrick Tilcock QMHP NPI is 1205990454, taxonomy code is 101YM0800X Patrick Tilcock QMHP physically located at 2145 Centennial Plz, Eugene OR, 97401-2421. NPI Number Patrick Tilcock QMHP has the Individual type.
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1205990454 NPI number is provided on an as is basis without warranty of any kind. 1205990454 is maintained by the National Plan & Provider Enumeration System. The contents of Patrick Tilcock QMHP are for informational purposes only.
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