Individual
DR. WILLIAM BENJAMIN BLEAZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
450 COUNTRY CLUB RD STE 325, EUGENE, OR 97401-6134
(541) 345-8895
(541) 345-8867
Mailing address
450 COUNTRY CLUB RD STE 325, EUGENE, OR 97401-6134
(541) 345-8895
(541) 345-8867
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006506
—
OR
Enumeration date
06/29/2007
Last updated
12/10/2024
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