Amagasu, Misha

Amagasu, Misha is an individual health care provider with primary practice located at 1162 Willamette St Attn: Carol Crays, Eugene OR 97401-3568. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Amagasu, Misha can be contacted via phone (541) 687-6373.

Contact Information

Primary practice address
1162 Willamette St Attn: Carol Crays Eugene OR 97401-3568
Phone: (541) 687-6373
Fax: (541) 434-3164
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MD23945 Oregon

Profile Details

NPI number 1992741920
LBN Legal business name Amagasu, Misha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992741920 NPPES
Oregon MEDICAID 227402

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