Individual
WOOL RIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
499 W 4TH AVE, EUGENE, OR 97401-2505
(541) 686-1262
Mailing address
499 W 4TH AVE, EUGENE, OR 97401-2505
(541) 686-1262
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/25/2017
Last updated
03/19/2021
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