Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | MD26594 | OR |
NPI | 1093724247 |
---|---|
Provider Name | Sarah Cassell |
First Address | Eugene, OR 97401-3181 |
Second Address | Eugene, OR 97401-3181 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 24/07/2014 |