Individual
ANGELA ELLISE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2400 HARTMAN LN, SPRINGFIELD, OR 97477-1118
(541) 334-3350
(541) 284-5198
Mailing address
2400 HARTMAN LN, SPRINGFIELD, OR 97477-1118
(541) 334-3350
(541) 284-5198
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00394
OR
Other
Enumeration date
08/02/2006
Last updated
09/28/2022
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