Individual
MS. KELLEY RENEE SYPHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.R.A.
Contact information
Practice address
2145 CENTENNIAL PLZ, EUGENE, OR 97401-2421
(541) 485-6340
(541) 984-3124
Mailing address
2005 MARCOLA RD, #94, SPRINGFIELD, OR 97477-2590
(541) 510-5718
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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