Individual
DR. SETH HARRIS GUNDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3333 RIVERBEND DR, SPRINGFIELD, OR 97477-8800
(541) 222-3154
Mailing address
PO BOX 7247, SPRINGFIELD, OR 97475-0011
(541) 686-9551
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
OT-012832
PA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
DO196056
OR
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
OS015318
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009507390002
—
PA
Enumeration date
03/23/2010
Last updated
12/29/2019
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