Individual
SAGAMORE JAMES BLAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSS
Contact information
Practice address
2411 MARTIN LUTHER KING JR BLVD, EUGENE, OR 97401-5824
(541) 682-3608
Mailing address
2411 MARTIN LUTHER KING JR BLVD, EUGENE, OR 97401-5824
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
114313
OR
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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