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Cheryl C Demoss

Technician, Attendant Care Provider in Springfield, OR. Individual provider (NPI-1).

NPI number1962059519
StatusActive
Last updated in NPPESAug 19, 2019

Details

NPI
1962059519
Entity type
Individual (NPI-1)
Name
Cheryl C Demoss
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 19, 2019
Last updated
Aug 19, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747A0650X Technician, Attendant Care Provider–ORYes

Practice location

1003 54th St
Springfield, OR 97478-6840

Phone 541-520-6218

Mailing address

1003 54th St
Springfield, OR 97478-6840

Phone 541-520-6218

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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