Individual
KENNETH J. ELSBREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 W 11TH AVE, EUGENE, OR 97402-3552
(541) 686-7722
Mailing address
2101 W 11TH AVE, EUGENE, OR 97402-3552
(541) 686-7722
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/23/2013
Last updated
07/29/2014
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