Individual
JENNA BUETOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1498 E MAIN ST, #108, COTTAGE GROVE, OR 97424-2204
(541) 942-8444
Mailing address
1020 GREEN ACRES RD, UNIT 8, EUGENE, OR 97408-1765
(541) 344-4442
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
10173265
OR
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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