Individual
BRIAN JEWETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 COBURG RD, EUGENE, OR 97401-2433
(541) 485-8111
(541) 342-6379
Mailing address
55 COBURG RD, EUGENE, OR 97401-2433
(541) 485-8111
(541) 342-6379
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD23107
OR
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
MD23107
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200041633
MC RAILROAD
OR
05
—
287249
—
OR
Enumeration date
07/28/2005
Last updated
01/11/2023
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