Individual
WENDY L LOBDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSS
Contact information
Practice address
2145 CENTENNIAL PLZ, EUGENE, OR 97401-2421
(541) 485-6340
Mailing address
3091 ELMIRA RD, EUGENE, OR 97402-2387
(541) 801-6552
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW2341
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
THW2341
—
OR
Enumeration date
12/08/2017
Last updated
12/08/2017
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