NPI 1639555170

Western University of Health Sciences

Organisation Adult Medicine Physician Lebanon, OR

Practice location

Address: 200 Mullins Dr, Lebanon, OR 97355-3983
Phone: (541) 259-0200
Mailing address: 795 E 2nd St Suite 5, Pomona, CA 91766-2007

Authorised official

Name: Kevin Shaw
Title: Cfo/Treasurer
Phone: (909) 469-5401

Registered specialties

Adult Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207QA0505X Licence 38807996 (OR)

Other Family Medicine providers in Oregon →

Registry record

NPI: 1639555170
Entity type: Organization
NPI issued: 6 Aug 2015
Record last updated: 6 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.