| NPI | 1376219147 |
|---|---|
| Doing Business As | EDEN PRACTITIONERS |
| Entity Type | Organization |
| Authorized Contact | DANE FICKES Owner 541-329-0478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health |
| 261QC1500X Clinic/Center, Community Health | |
| 183500000X Pharmacist | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2022-08-12 |