Individual
JILL S. HAMBLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1800 MILLRACE DR, EUGENE, OR 97403-1992
(541) 434-1997
Mailing address
3225 KEVINGTON AVE, EUGENE, OR 97405-1367
(541) 232-4423
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
079011536LPN
OR
Other
Enumeration date
11/23/2014
Last updated
11/23/2014
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