Individual
JAMES DAVID BONGCAYAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MCC
Contact information
Practice address
2420 KINCAID ST, EUGENE, OR 97405-3056
(541) 501-3062
Mailing address
2420 KINCAID ST, EUGENE, OR 97405-3056
(541) 501-3062
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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