Individual
MELINDA GROVE LUNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
436 CHARNELTON ST, EUGENE, OR 97401-2626
(541) 344-6446
Mailing address
436 CHARNELTON ST, EUGENE, OR 97401-2626
(541) 344-6446
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1646
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
838435003
REGENCE BLUE CROSS
OR
01
—
J344603
PACIFICSOURCE
OR
Enumeration date
02/22/2007
Last updated
07/08/2007
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