Individual
SAMANTHA GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1460 G ST, SPRINGFIELD, OR 97477-4112
(541) 726-4400
Mailing address
2850 TENNYSON AVE #356, EUGENE, OR 97408
(260) 241-1509
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
202007891NP-PP
OR
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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