Individual
ESTELA JASMIN VEGA-RIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
944 W 5TH AVE, EUGENE, OR 97402-5106
(458) 210-9581
Mailing address
944 W 5TH AVE, EUGENE, OR 97402-5106
(541) 687-2667
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW000105233
OR
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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