Individual
IAN MARINOV DOBREV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1508 WILLAMETTE ST, EUGENE, OR 97401-4048
(541) 343-3150
Mailing address
677 WOODLEAF LN, EUGENE, OR 97405-4052
(541) 729-6330
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21428
OR
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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