Individual
HOLLY ANN SAMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1142 WILLAGILLESPIE RD, EUGENE, OR 97401
(541) 666-3652
Mailing address
129 GREEN LN, EUGENE, OR 97404-2492
(541) 852-7946
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
B172312
OR
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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