Individual
MR. KERY ROBERT WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1800 COBURG RD, EUGENE, OR 97401-4995
(541) 640-7625
(541) 345-8763
Mailing address
1292 HIGH ST STE 224, EUGENE, OR 97401-3238
(541) 500-2500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA190936
OR
Other
Enumeration date
09/25/2018
Last updated
07/01/2021
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