Basic Information
Provider Information
NPI: 1962170159
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: METZLER
FirstName: CAMERON
MiddleName: R
NamePrefix:  
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1648
Address2:  
City: EUGENE
State: OR
PostalCode: 974401648
CountryCode: US
TelephoneNumber: 5416874900
FaxNumber: 5414632820
Practice Location
Address1: 330 S GARDEN WAY STE 350
Address2:  
City: EUGENE
State: OR
PostalCode: 974018179
CountryCode: US
TelephoneNumber: 5417466816
FaxNumber: 5417263177
Other Information
ProviderEnumerationDate: 09/01/2021
LastUpdateDate: 12/14/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/14/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X202109083NP-PPORY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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