Individual
FRED CHARLES FELTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
940 COUNTRY CLUB RD, EUGENE, OR 97401-2208
(541) 344-2600
(541) 344-3317
Mailing address
PO BOX 7054, EUGENE, OR 97401-0003
(541) 726-1034
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7579
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062760
—
OR
Enumeration date
07/09/2006
Last updated
07/08/2007
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