Individual
FAWN PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1255 PEARL ST, EUGENE, OR 97401-3570
(541) 686-5060
Mailing address
1255 PEARL ST, EUGENE, OR 97401-3570
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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