Individual
MICHELE MARKSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
195 W 12TH AVE, EUGENE, OR 97401-3408
(541) 346-4533
Mailing address
195 W 12TH AVE, EUGENE, OR 97401-3408
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0495
OR
Other
Enumeration date
10/05/2006
Last updated
04/21/2011
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