Individual
JAMES WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1520 MCLEAN BLVD, EUGENE, OR 97405-6002
(541) 393-7758
Mailing address
1520 MCLEAN BLVD, EUGENE, OR 97405-6002
(541) 393-7758
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
092006676RN
OR
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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