Individual
MRS. VICKI KENNY SILVERTHORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
921 COUNTRY CLUB RD, SUITE 222, EUGENE, OR 97401-2257
(541) 686-6000
Mailing address
1223 CALVIN ST, EUGENE, OR 97401-5321
(541) 343-3538
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
R1097
OR
Other
Enumeration date
02/04/2008
Last updated
02/04/2008
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