Cheryl R Bourgault, PA C
Physician Assistant in Eugene, Oregon
1205823036- 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, PA C is a Physician Assistant based in Eugene, OR. Cheryl R Bourgault, PA C holds the professional credentials of PA C. The NPI number for Cheryl R Bourgault, PA C is 1205823036 and holds license No. PA152468 (OR). The current practice location address is 360 S Garden Way, Suite 210, Eugene, OR 97401-8173 and the office can be reached by phone at 541-683-3202 and by fax at 541-868-1063. The NPI was assigned on October 6, 2005 and the record was last updated in NPPES on March 27, 2023.
●Provider Profile Details
- NPI Number
- 1205823036
- Provider Name
- Cheryl R Bourgault
- Credential
- PA C
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Enumeration Date
- October 6, 2005
- Last Update Date
- March 27, 2023
- Certification Date
- March 27, 2023
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 360 S Garden Way
Suite 210
Eugene, OR 97401-8173 - City
- Eugene
- State
- Oregon
- ZIP
- 97401-8173
- Country
- US
- Phone Number
- 541-683-3202
- Fax Number
- 541-868-1063
✉Business Mailing Address
- 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
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | PA152468 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers 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) and holds license No. PA152468 (OR).
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 at npiregistry.cms.hhs.gov.