Individual
CHARLES KONEFAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3047 TEAL PL, EUGENE, OR 97404-3895
(208) 250-5583
Mailing address
3047 TEAL PL, EUGENE, OR 97404-3895
(208) 250-5583
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10046049
OR
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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