1477644052 NPI number — MS. MEGAN CATHLIN SCHWEIZER FNP

Table of content: MS. MEGAN CATHLIN SCHWEIZER FNP (NPI 1477644052)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477644052 NPI number — MS. MEGAN CATHLIN SCHWEIZER FNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHWEIZER
Provider First Name:
MEGAN
Provider Middle Name:
CATHLIN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
FNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ORR
Provider Other First Name:
MEGAN
Provider Other Middle Name:
CATHLIN
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1477644052
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/16/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
931 CHEVY WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MEDFORD
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97504-4127
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
541-535-6239
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1600 DELTA WATERS RD
Provider Second Line Business Practice Location Address:
STE 107
Provider Business Practice Location Address City Name:
MEDFORD
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97504-9114
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-858-2515
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/27/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  15910 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: 200750155NP , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 500604755 , issued by the state of ( OR ) . This identifiers is of the category "MEDICAID".