Individual
ADELINE BERNAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2655 MLK JR BLVD, EUGENE, OR 97401-5899
(541) 682-7979
Mailing address
1790 W 11TH AVE, EUGENE, OR 97402-3758
(541) 686-2611
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OR
Other
Enumeration date
08/24/2013
Last updated
08/24/2013
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