Individual
MS. MARNIE L HACKBARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
895 COUNTRY CLUB RD, SUITE A140, EUGENE, OR 97401-6003
(541) 484-3055
Mailing address
895 COUNTRY CLUB RD, SUITE A140, EUGENE, OR 97401-6003
(541) 484-3055
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16324
OR
Other
Enumeration date
04/12/2013
Last updated
05/13/2016
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