Individual
SHANTA KAMATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1258 HIGH ST, EUGENE, OR 97401-3238
(541) 242-2937
Mailing address
1258 HIGH ST, EUGENE, OR 97401-3238
(541) 242-2937
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
T17500000X
OR
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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