Individual
MR. STACY LEE GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1524 WILLAMETTE ST, SUITE 202, EUGENE, OR 97401-4093
(541) 914-1698
Mailing address
2666 NEWCASLE ST., EUGENE, OR 97404
(541) 914-1698
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
Primary
10714
OR
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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