Individual
JAMES WILLIAM SOUTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C, FNP
Contact information
Practice address
1740 NW GOETZ ST, ROSEBURG, OR 97471-1613
(541) 640-7625
Mailing address
1292 HIGH ST STE 224, EUGENE, OR 97401-3238
(541) 500-2500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201906644NP-PP
OR
Other
Enumeration date
11/25/2019
Last updated
01/24/2020
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