Individual
ALEXANDER WILLOUGHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
341 NW MEDICAL LOOP STE 120, ROSEBURG, OR 97471-5546
(541) 440-6388
(541) 672-0665
Mailing address
201 NW MEDICAL LOOP STE 190, ROSEBURG, OR 97471-8835
(541) 677-4319
(541) 677-2294
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD196566
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD196566
STATE MEDICAL LICENSE
OR
Enumeration date
06/29/2016
Last updated
07/22/2020
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