Individual
KALSANG W PHUNTSHOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
380 9TH ST, FLORENCE, OR 97439-9470
(541) 997-7134
(541) 997-9650
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451
(541) 902-6140
(541) 902-7533
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD18884
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD18884
STATE LICENSE
OR
Enumeration date
04/26/2006
Last updated
12/07/2009
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