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Individual

EBONY CAPRICE MORGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
341 E 12TH AVE, EUGENE, OR 97401-3212
(541) 342-8255
Mailing address
341 E 12TH AVE, EUGENE, OR 97401-3212
(541) 342-8255

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
163WP0808X
Psychiatric/Mental Health Registered Nurse
202005978RN
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500650666
OR
Enumeration date
03/10/2021
Last updated
03/10/2021
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