Individual
ROBERT SOANS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
230 ROWE ST, 112 PENN ST, WHEELER, OR 97147
(503) 368-5182
Mailing address
230 ROWE ST, PO BOX 633, WHEELER, OR 97147
(503) 368-5182
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00583
OR
Other
Enumeration date
02/27/2006
Last updated
07/08/2007
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