Individual
MR. OLUWAFEMI KAMIL EKUNGBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2437 PORTLAND ALY, EUGENE, OR 97405
(541) 937-5507
Mailing address
2437 PORTLAND ALY, EUGENE, OR 97405
(541) 937-5507
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201330178LPN
OR
Other
Enumeration date
04/30/2013
Last updated
04/23/2014
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