Individual
RANDALL S HENERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
217 DIVISION AVE, EUGENE, OR 97404-5429
(541) 688-3000
(541) 688-5368
Mailing address
217 DIVISION AVE, EUGENE, OR 97404-5429
(541) 688-3000
(541) 688-5368
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D017983
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052014
—
OR
Enumeration date
08/02/2006
Last updated
04/01/2008
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