Individual
DAVID EWALT STICHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
396 ARCHIE ST, EUGENE, OR 97402-6570
(541) 606-6057
Mailing address
3585 KINSROW AVE APT 102, EUGENE, OR 97401-7076
(541) 606-6057
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
—
—
Other
Enumeration date
07/05/2021
Last updated
07/16/2021
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