Individual
MISHA AMAGASU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1162 WILLAMETTE ST, ATTN: CAROL CRAYS, EUGENE, OR 97401-3568
(541) 687-6373
(541) 434-3164
Mailing address
1515 VILLAGE DR, COTTAGE GROVE, OR 97424-9700
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD23945
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227402
—
OR
Enumeration date
06/20/2006
Last updated
07/08/2007
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