SERENA L LUCE (NPI# 1821067489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821067489 |
Entity Type | Individual |
Full Name | SERENA L LUCE |
Other Name | SERENA A LEE |
Credential | PA-C |
Practice Address |
1650 Chambers St Eugene OR 97402-3636 |
Mailing Address |
Po Box 1648 Eugene OR 97440-1648 |
Practice Telephone | 5416861711 |
Practice Fax Number | 5416866018 |
Mailing Telephone | 5416861711 |
Mailing Fax Number | 5416866018 |
Enumeration Date | 2006-03-16 |
Last Update Date | 2014-01-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 2005038794 | MO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 500652089 | 05 | |
NPI | 1821067489 | 01 |
Street Address |
1650 CHAMBERS ST |
City | EUGENE |
State | OR |
Zip Code | 97402-3636 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174501001 | Karl A Saxman | Internal Medicine | 1650 Chambers St, Eugene, OR 97402-3636 | 2005-12-30 |
1225645898 | Dominick Amandus Post | Physical Therapist | 1650 Chambers St, Eugene, OR 97402-3636 | 2020-09-28 |
1225660764 | Rachel Burch | Physical Therapist | 1650 Chambers St, Eugene, OR 97402-3636 | 2020-02-12 |
1558718262 | Soojung Samantha Lee | Family Medicine | 1650 Chambers St, Eugene, OR 97402-3636 | 2016-05-23 |
1235571936 | Nathan Wayne Scadlock | Nurse Practitioner | 1650 Chambers St, Eugene, OR 97402-3636 | 2013-07-23 |
1023317526 | Oregon Healthcare Resources LLC | Durable Medical Equipment & Medical Supplies | 1650 Chambers St, Eugene, OR 97402-3636 | 2011-03-23 |
1578748380 | Willamette Community Medical Group LLC | Durable Medical Equipment & Medical Supplies | 1650 Chambers St, Eugene, OR 97402-3636 | 2007-12-31 |
1497835441 | Mary Christine Mckee | Pediatrics | 1650 Chambers St, Eugene, OR 97402-3636 | 2006-10-16 |
1598873861 | Martin L Jones Jr. | Internal Medicine | 1650 Chambers St, Eugene, OR 97402-3636 | 2006-08-28 |
1184694812 | Sharon H Flynn | Internal Medicine | 1650 Chambers St, Eugene, OR 97402-3636 | 2006-01-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538709704 | Jordan Charles Smith | Massage Therapist | 775 Menroe St., Eugene, OR 97402 | 2020-01-15 |
1104462134 | Cerridwen Laurel Martin | Massage Therapist | 775 Monroe St., Eugene, OR 97402 | 2019-11-25 |
1720556368 | Valerie Jeanne Charles | Massage Therapist | 989 Throne Dr., Eugene, OR 97402 | 2018-11-12 |
1407324189 | Laura Angulo | Massage Therapist | 1247 W 8th Ave Apt 10, Eugene, OR 97402 | 2018-11-11 |
1932687472 | Karl Alan Porter | Counselor | 1195 City View St Ste B, Eugene, OR 97402 | 2018-08-06 |
1992283170 | Fresenius Medical Care Dialysis Services - Oregon, LLC | Clinic/Center | 3747 W 11th Ave, Eugene, OR 97402 | 2018-07-31 |
1699251744 | Isabella Arlo Jane Silver | Counselor | 970 W 7th Ave., Eugene, OR 97402 | 2018-07-12 |
1447740527 | Shasta Tobi Cooke | Behavioral Analyst | 677 1/2 W 12th Ave, Eugene, OR 97402 | 2018-05-15 |
1497205306 | Jenna Bracco | Social Worker | 1274 W. 7th Avenue Suite 201, Eugene, OR 97402 | 2016-10-04 |
1871041392 | Jeremy Powers | Massage Therapist | 882 Van Buren St, Eugene, OR 97402 | 2016-09-13 |
Find all providers in zip 97402 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871133322 | Kim Fox | Physician Assistant | 1292 High St Ste 224, Eugene, OR 97401-3238 | 2020-01-13 |
1881112910 | Patrick Russell Tutt | Physician Assistant | 2596 City View St, Eugene, OR 97405-1443 | 2017-09-08 |
1598139800 | Sean Malanowski | Physician Assistant | 1200 Hilyard St Ste 620, Eugene, OR 97401-8157 | 2015-11-24 |
1346617792 | Marissa Reen | Physician Assistant | 360 S Garden Way Ste 290, Eugene, OR 97401-8175 | 2015-09-01 |
1780918847 | Ryan Lee Cain | Physician Assistant | 4040 W 11th Ave Ste B, Eugene, OR 97402-5601 | 2009-09-22 |
1023292067 | Chelsea Genna Marshall | Physician Assistant | 1861 Kingsley Rd. #80, Eugene, OR 97401 | 2007-12-27 |
1245326651 | Lisa Marlene Olson | Physician Assistant | 330 S Garden Way Ste 390, Eugene, OR 97401-8179 | 2006-10-04 |
1881621381 | Jan K Lintz | Physician Assistant | 3525 Hilyard St Ste 600, Eugene, OR 97405-3866 | 2006-06-28 |
1154309326 | Nathan Bryan Smith | Physician Assistant | 743 Country Club Rd, Eugene, OR 97401-6019 | 2006-01-06 |
1538147053 | Lisa M Ingold | Physician Assistant | 360 S Garden Way Ste 230, Eugene, OR 97401-8187 | 2006-01-04 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.