Individual
DEREK LARWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1011 VALLEY RIVER WAY, 106, EUGENE, OR 97401-2127
(541) 344-3689
Mailing address
1011 VALLEY RIVER WAY, 106, EUGENE, OR 97401-2127
(541) 344-3689
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14671
OR
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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