Individual
MR. ALLEN RAY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
85995 BAILEY HILL RD, EUGENE, OR 97405-9206
(541) 485-6271
Mailing address
85995 BAILEY HILL RD, EUGENE, OR 97405-9206
(541) 485-6271
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5927
OR
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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