Individual
MATTHEW RICHARD MIXER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
260 E 15TH AVE, B, EUGENE, OR 97401-4177
(541) 345-5972
Mailing address
260 E 15TH AVE, B, EUGENE, OR 97401-4177
(541) 345-5972
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00341
OR
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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