Individual
DR. PAMELA LAINE WIBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3575 DONALD ST, 220, EUGENE, OR 97405-4753
(541) 345-2437
Mailing address
3575 DONALD ST STE 220, EUGENE, OR 97405-4759
(541) 345-2437
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19836
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19836
OR STATE MEDICAL LICENSE
OR
Enumeration date
07/17/2006
Last updated
07/08/2007
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