Individual
MANUEL MEJIA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CHW
Contact information
Practice address
151 W 7TH AVE RM 560, EUGENE, OR 97401-1100
(541) 852-3891
Mailing address
151 W 7TH AVE RM 560, EUGENE, OR 97401-1100
(541) 852-3891
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
THW000110435
OR
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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