Individual
KEVIN DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 RIVER AVE, EUGENE, OR 97404-2507
(541) 232-5776
Mailing address
102 MCCLURE LN, EUGENE, OR 97404-3377
(541) 232-5776
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OR
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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