Individual
MS. JULIE ANN IBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 RIVER AVE, EUGENE, OR 97404-2507
(541) 607-0897
Mailing address
1510 JEFFERSON ST, EUGENE, OR 97402-4062
(541) 222-0656
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200940693RN
OR
Other
Enumeration date
03/24/2009
Last updated
05/28/2013
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