Individual
MACKENZIE SOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 SHELTON MCMURPHEY BLVD, EUGENE, OR 97401-4928
(541) 485-2711
Mailing address
839 NADINE AVE, EUGENE, OR 97404-2784
(310) 210-8141
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500772660
—
OR
Enumeration date
10/21/2019
Last updated
05/20/2020
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