Search › Oregon › 183500000X
Wyley Agamenoni
NPI 1164898946 · on the registry since 2015
Practice
- Address
- 2815 Chad Dr
Eugene, OR 97408 - Phone
- (541) 686-0094
- Organisation at this address
- Shopko Stores Operating Co Llc
Shopko Stores Operating Co LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 1835P0018X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-07-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon