Individual
WENDY LOREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4890 WHITEAKER ST, EUGENE, OR 97405-1145
(541) 337-4726
Mailing address
4890 WHITEAKER ST, EUGENE, OR 97405-1145
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5440
OR
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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