Individual
ANDREW WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 ALEXANDER LOOP, EUGENE, OR 97401-6524
(541) 345-6199
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
337454
OR
Other
Enumeration date
02/22/2015
Last updated
02/22/2015
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