Individual
KELSEY M PEMBERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1258 HIGH ST, EUGENE, OR 97401-3238
(541) 342-8437
(541) 342-1639
Mailing address
1258 HIGH ST, EUGENE, OR 97401-3238
(541) 342-8437
(541) 342-1639
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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