Individual
PETER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1121 FAIRFIELD AVE, EUGENE, OR 97402-2026
(541) 461-7500
Mailing address
1121 FAIRFIELD AVE, EUGENE, OR 97402-2026
(541) 461-7500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02097
OR
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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