JAMES WILLIAM SOUTHAM

ROSEBURG, OR
NPI1598301582
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  201906644NP-PP)
Enumeration Date2019-11-25
Last Update Date2020-01-24
Business Address
JAMES WILLIAM SOUTHAM NP-C, FNP
1740 NW GOETZ ST
ROSEBURG, OR 97471-1613
Phone number: 541-640-7625
Mailing Address
JAMES WILLIAM SOUTHAM NP-C, FNP
1292 HIGH ST STE 224
EUGENE, OR 97401-3238
Phone number: 541-500-2500