Individual
JONATHAN HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2866 CRESCENT AVE STE 105, EUGENE, OR 97408-7423
(541) 654-5499
(541) 653-9504
Mailing address
2866 CRESCENT AVE STE 105, EUGENE, OR 97408-7423
(541) 654-5499
(541) 653-9504
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22560
OR
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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