Individual
DR. SANDY KAY PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2282 NW TROOST ST STE 104, ROSEBURG, OR 97470-6072
(541) 672-7428
(541) 672-7430
Mailing address
9750 SOUTH BANK DRIVE, ROSEBURG, OR 97470
(541) 673-0212
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1559T
OR
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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