Individual
JUSTIN ETZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1011 VALLEY RIVER WAY STE 110, EUGENE, OR 97401-2127
(541) 762-2763
Mailing address
1011 VALLEY RIVER WAY STE 108, EUGENE, OR 97401-2184
(541) 249-9309
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD208110
OR
207WX0107X
Retina Specialist (Ophthalmology) Physician
MD208110
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500807814
—
OR
Enumeration date
03/23/2018
Last updated
09/25/2025
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