Individual
MR. NATHAN ALEXANDER WILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
920 TOWN CENTRE DR, MEDFORD, OR 97504-6100
(541) 414-8488
Mailing address
363 JANS CT, CENTRAL POINT, OR 97502-2529
(541) 414-8488
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50065834
—
OR
Enumeration date
06/26/2012
Last updated
04/14/2022
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