Organization
OREGON EAR, NOSE AND THROAT, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE M BRACKEBUSCH MD (OWNER)
(541) 349-9333
Entity
Organization
Contact information
Practice address
995 WILLAGILLESPIE RD, SUITE 300C, EUGENE, OR 97401-2186
(541) 302-1420
(541) 485-7881
Mailing address
995 WILLAGILLESPIE RD, SUITE 300C, EUGENE, OR 97401-2186
(541) 302-1420
(541) 485-7881
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276339
—
OR
Enumeration date
11/02/2006
Last updated
03/24/2008
Update your record
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