Individual
SANDRA WILMOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2484 RIVER RD, EUGENE, OR 97404-2042
(541) 222-7650
Mailing address
2484 RIVER RD, EUGENE, OR 97404-2042
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0214128
OR
Other
Enumeration date
02/20/2014
Last updated
10/29/2015
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