Organization
CENTRO LATINOAMERICANO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCELA MENDOZA PH.D. (DIRECTOR)
(541) 687-2667
Entity
Organization
Contact information
Practice address
944 W 5TH AVE, EUGENE, OR 97402-5106
(541) 687-2667
(541) 284-2139
Mailing address
944 W 5TH AVE, EUGENE, OR 97402-5106
(541) 687-2667
(541) 284-2139
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163WA0400X
HIPAA
OR
Enumeration date
05/06/2010
Last updated
05/06/2010
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