Individual
MARCUS HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
338 HIGHWAY 99 N, EUGENE, OR 97402-2404
(840) 800-1907
Mailing address
338 HIGHWAY 99 N, EUGENE, OR 97402-2404
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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