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Individual

OWEN MATHERLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
115 W 8TH AVE STE 300, EUGENE, OR 97401-2997
(541) 505-8168
Mailing address
1225 E 38TH AVE, EUGENE, OR 97405-5603
(435) 640-5649

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
08/01/2022
Last updated
08/24/2025
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