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Organization
DIABETES COMMUNITY CARE TEAM
Active
Organization
DIABETES COMMUNITY CARE TEAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE DEWSNUP RPH, CDE, AAHIVP (EXECUTIVE DIRECTOR)
(541) 257-8553
Entity
Organization
Contact information
Practice address
207 E 5TH AVE STE 223, EUGENE, OR 97401-2762
(855) 211-3228
(855) 565-3626
Mailing address
207 E 5TH AVE STE 223, EUGENE, OR 97401-2762
(855) 211-3228
(855) 565-3626
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
RP-0003347
OR
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
10/18/2017
Last updated
10/28/2020
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