Individual
MATTHEW RYAN MAZUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSS, THW
Contact information
Practice address
1195 CITY VIEW ST, EUGENE, OR 97402-3325
(323) 500-5400
Mailing address
1195 CITY VIEW ST, EUGENE, OR 97402-3325
(541) 342-5088
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
24-CRM-3551
OR
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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