- Practice location
- 360 S Garden Way, Suite 210, Eugene, OR 97401-8173
- Phone
- 541-683-3202
- Fax
- 541-868-1063
- Last updated
- March 27, 2023
Cheryl R Bourgault is a Physician Assistant based in Eugene, OR. Cheryl R Bourgault practices in Eugene, OR and has the professional credentials of PA C. The NPI Number for Cheryl R Bourgault is 1205823036 and holds a License No. PA152468 (OR). The current practice location address for Cheryl R Bourgault is 360 S Garden Way, Suite 210, Eugene, OR 97401-8173 and can be reached out via phone at 541-683-3202 and via fax at 541-868-1063.
Provider Profile Details
- NPI Number
- 1205823036
- Provider Name
- Cheryl R Bourgault
- Credential
- PA C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 360 S Garden Way, Suite 210, Eugene, OR 97401-8173
- Phone Number
- 541-683-3202
- Fax Number
- 541-868-1063
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 6, 2005
- Last Update Date
- March 27, 2023
- Certification Date
- March 27, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 360 S Garden Way
Suite 210
Eugene, OR 97401-8173 - City
- Eugene
- State
- Oregon
- Zip
- 97401-8173
- Phone Number
- 541-683-3202
- Fax Number
- 541-868-1063
Provider Business Mailing Address Details
- Address
- 360 S Garden Way Ste 210
Eugene, OR 97401-8186 - City
- Eugene
- State
- OR
- Zip
- 97401-8186
- Phone Number
- 541-683-3202
- Fax Number
- 541-868-1063
License Information
- License Number
- PA152468
- License State
- OR
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Eugene, OR
View all Physician Assistants in Eugene →Frequently Asked Questions
What is the NPI number of Cheryl R Bourgault, PA C?
The NPI number of Cheryl R Bourgault, PA C is 1205823036. It was assigned on October 6, 2005 and is currently active in the NPPES registry.
What is the specialty of Cheryl R Bourgault, PA C?
Cheryl R Bourgault, PA C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in OR under license number PA152468.
Where does Cheryl R Bourgault, PA C practice?
The practice location is 360 S Garden Way, Suite 210, Eugene, OR 97401-8173. The office can be reached at 541-683-3202 (phone) or 541-868-1063 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205823036 directly on the NPPES registry website.