Individual
WILLIAM SAMUELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
581 W 17TH AVE, EUGENE, OR 97401-3816
(541) 687-6431
Mailing address
PO BOX 50, EUGENE, OR 97440-0050
(541) 246-0221
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20707
OR
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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