Search › Oregon › 363LA2100X
David Owens, ACAGNP
NPI 1649644618 · on the registry since 2015
Practice
- Address
- 4040 W 11th Ave
Eugene, OR 97402 - Phone
- (541) 640-7625
- Organisation at this address
- Icco, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 363LA2100X
363LG0600X
363LG0600X - Licence states on file
- TN, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-01-24
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