Individual
MR. JAMES C. HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCP
Contact information
Practice address
3600 NW SAMARITAN DR, SUITE 227, CORVALLIS, OR 97330-3737
(541) 768-5223
(541) 768-5014
Mailing address
3600 NW SAMARITAN DR, SUITE 227, CORVALLIS, OR 97330-3737
(541) 768-5223
(541) 768-5014
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
940132
CLINICAL PERFUSIONIST
—
Enumeration date
03/06/2007
Last updated
03/18/2013
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