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Individual

MS. JANENE K BECKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT, CA

Contact information

Practice address
4750 W HILLSIDE DR, EUGENE, OR 97405-4604
(541) 510-0142
Mailing address
4750 W HILLSIDE DR, EUGENE, OR 97405-4604
(541) 510-0142

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5222
LMT LICENSE
OR
Enumeration date
10/11/2012
Last updated
10/11/2012
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