Individual
CRAIG P EBERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
213 NW LARCH AVE, SUITE B, REDMOND, OR 97756-1323
(541) 526-6635
(541) 526-6636
Mailing address
PO BOX 1420, REDMOND, OR 97756-0400
(541) 526-6635
(541) 526-6636
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD13613
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12097978
CAQH ID
OR
05
—
278645
—
OR
Enumeration date
10/11/2006
Last updated
01/02/2012
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