Organization
KARA D MYERS LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARA D MYERS LCSW (SOLE OWNER/MEMBER)
(541) 514-0393
Entity
Organization
Contact information
Practice address
511 E 12TH AVE, EUGENE, OR 97401-3608
(541) 514-0393
(541) 344-7595
Mailing address
511 E 12TH AVE, EUGENE, OR 97401-3608
(541) 514-0393
(541) 344-7595
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4887
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500642282
—
OR
Enumeration date
03/09/2016
Last updated
03/10/2016
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