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Individual

JOHNNY C LAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
THW, CLES

Contact information

Practice address
1270 CHARNELTON ST, EUGENE, OR 97401-3430
(541) 505-1139
Mailing address
1270 CHARNELTON ST, EUGENE, OR 97401-3430
(541) 505-1139

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
THW000106769
OR
374J00000X
Doula
Primary
THW000106769
OR
374J00000X
Doula
Primary

Other

Enumeration date
03/16/2022
Last updated
02/03/2026
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