SEAN JOSEPH PRENDERGAST

LEBANON, OR
NPI1447606231
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: OR  MD193346)
Enumeration Date2016-05-11
Last Update Date2020-11-10
Business Address
SEAN JOSEPH PRENDERGAST
525 N SANTIAM HWY
LEBANON, OR 97355-4363
Phone number: 541-258-2101
Mailing Address
SEAN JOSEPH PRENDERGAST
PO BOX 1193
CORVALLIS, OR 97339-1193
Phone number: