Individual
MS. EVELYN BIRGITTA PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
405 E 14TH AVE, 8, EUGENE, OR 97401-4282
(801) 688-0614
Mailing address
405 E 14TH AVE, 8, EUGENE, OR 97401-4282
(801) 688-0614
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22671
OR
Other
Enumeration date
03/11/2017
Last updated
03/11/2017
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