WILLIE UNDERWOOD

BEND, OR
NPI1831136829
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: OR  MD214003)
Additional Taxonomies208800000X Urology
(Licence: NY  250131)
Enumeration Date2006-05-31
Last Update Date2022-12-21
Business Address
WILLIE UNDERWOOD MD
1247 NE MEDICAL CENTER DR STE C
BEND, OR 97701-3786
Phone number: 541-322-5753
Mailing Address
WILLIE UNDERWOOD MD
PO BOX 1517
PENDLETON, OR 97801-0410
Phone number: 877-708-1119