Provider Demographics
NPI:1902096670
Name:GARWOOD, JO ANNE MARIE (RN)
Entity Type:Individual
Prefix:MRS
First Name:JO ANNE
Middle Name:MARIE
Last Name:GARWOOD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 W 23RD AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-1474
Mailing Address - Country:US
Mailing Address - Phone:541-505-8880
Mailing Address - Fax:541-654-0188
Practice Address - Street 1:2525 W 23RD AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-1474
Practice Address - Country:US
Practice Address - Phone:541-505-8880
Practice Address - Fax:541-654-0188
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR000029889RN163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health