Individual
MS. SANDRA J HUFSMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2294 NW KINGS BLVD, CORVALLIS, OR 97330-3923
(541) 754-1415
(541) 754-9848
Mailing address
2294 NW KINGS BLVD, CORVALLIS, OR 97330-3923
(541) 754-1415
(541) 754-9848
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD13089
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
212391
HEALTHNET
OR
05
—
268375
—
OR
01
—
90085816
PACIFICARE
OR
01
—
E039801
PACIFICSOURCE
OR
01
—
R0000BHQHM
MEDICARE ID-PIN
OR
Enumeration date
08/28/2006
Last updated
10/17/2007
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