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Individual

ROBERT AARON WAYNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
920 COUNTRY CLUB RD, SUITE 210B, EUGENE, OR 97401-6024
(541) 242-4172
(541) 242-4171
Mailing address
PO BOX 1648, EUGENE, OR 97440-1648
(541) 242-4172
(541) 242-4171

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5710
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
218714
OR
Enumeration date
07/15/2008
Last updated
07/01/2010
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