Individual
CHRISTY S KIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
550 RIVER RD, EUGENE, OR 97404-3212
(541) 743-2611
(541) 868-0340
Mailing address
762 SKIPPER AVE, EUGENE, OR 97404-2239
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
219972
OR
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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