Individual
PAUL THATCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
55 COBURG RD, EUGENE, OR 97401-2433
(541) 485-8111
(541) 868-0883
Mailing address
55 COBURG RD, EUGENE, OR 97401-2433
(541) 485-8111
(541) 868-0883
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00305
OR
Other
Enumeration date
07/29/2005
Last updated
11/01/2007
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