Individual
MS. PRISCILLA MYCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 E 16TH AVE, EUGENE, OR 97401-4033
(971) 266-0421
Mailing address
106 E 16TH AVE, EUGENE, OR 97401-4033
(971) 266-0421
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
24632
OR
363L00000X
Nurse Practitioner
Primary
SP010955
PA
Other
Enumeration date
11/21/2010
Last updated
10/01/2021
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