IndividualActive
Wendy Park, PHD, CNS-PP ,BC
NPI 1861590036 · Adult Psychiatric/Mental Health Clinical Nurse Specialist · Eugene, OR
Provider details
- NPI number
- 1861590036
- Entity type
- Individual
- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PHD, CNS-PP ,BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN076849 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
207 E 5th Ave Ste 246
Eugene, OR 97401-2762
Phone: (541) 200-6899
Fax: (541) 460-5167
Approximate (ZIP-level) locationGet directions
Mailing address
207 E 5th Ave Ste 246
Eugene, OR 97401-2762
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2024-02-29
- Certified
- 2024-02-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.