Individual
MARK FRANK OLDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSSW
Contact information
Practice address
200 SILVER LN, EUGENE, OR 97404-2216
(541) 687-4041
(541) 687-3896
Mailing address
88293 LAKE SIDE DR, VENETA, OR 97487-9603
(541) 687-4041
(541) 687-3896
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0448
OR
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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