NPI 1558758169

Yvonne Egendoerfer

Practitioner Legal Medicine Phoenix, OR

Practice location

Address: 404 N Main St, Phoenix, OR 97535-9632
Phone: (541) 535-1561

Registered specialties

Legal Medicine Primary

Other Service Providers Taxonomy 173000000X Licence RPH 0011349 (OR)

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Registry record

NPI: 1558758169
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Apr 2015
Record last updated: 21 Apr 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.