Individual
JAMES M KASSUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 COUNTRY CLUB RD, SUITE 200A, EUGENE, OR 97401-6024
(541) 342-2134
(541) 242-4227
Mailing address
PO BOX 1648, EUGENE, OR 97440-1648
(541) 687-4900
(541) 687-4904
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD26539
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247343
—
OR
Enumeration date
07/17/2006
Last updated
10/24/2011
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