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Individual

DIRK G DEBROEKERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
890 RIVER RD, EUGENE, OR 97404-3233
(541) 688-0674
(541) 688-5378
Mailing address
28015 BRIGGS HILL RD, EUGENE, OR 97405-9747
(541) 687-8298

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PP00278
OR

Other

Enumeration date
08/19/2006
Last updated
07/08/2007
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