Individual
CYNTHIA LORRAINE MORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1904 GARDEN AVE, SUITE 204, EUGENE, OR 97403
(541) 953-7894
Mailing address
PO BOX 519, COTTAGE GROVE, OR 97424-0021
(541) 953-7894
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19718
OR
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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