Basic Information
Provider Information
NPI: 1437158797
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BINDER
FirstName: PAUL
MiddleName: L.
NamePrefix:  
NameSuffix:  
Credential: PA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 24410
Address2:  
City: EUGENE
State: OR
PostalCode: 974020451
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 3311 RIVER BEND DRIVE
Address2: SUITE 300
City: SPRINGFIELD
State: OR
PostalCode: 974778800
CountryCode: US
TelephoneNumber: 5414844332
FaxNumber: 5413020786
Other Information
ProviderEnumerationDate: 07/19/2005
LastUpdateDate: 09/10/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000XPA00671ORY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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