Individual
MR. ANTONY MBERERI WACHUKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1320 SW HILLVIEW AVE, CORVALLIS, OR 97333-3906
(541) 452-1033
(541) 452-1033
Mailing address
1320 SW HILLVIEW AVE, CORVALLIS, OR 97333-3906
(541) 452-1033
(541) 452-1033
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
529871
OR
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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