Individual
MR. ERIC SETH WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 FERN VALLEY RD STE A, PHOENIX, OR 97535-9100
(541) 535-1274
(541) 535-6973
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(541) 535-1274
(541) 535-6973
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17110
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026301
—
OR
01
—
17110
STATE LIC
OR
Enumeration date
10/25/2006
Last updated
10/19/2020
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