Individual
ONDINE ARQUEZ ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1375 PEARL ST, EUGENE, OR 97401-3523
(541) 683-3377
Mailing address
3210 KINSROW AVE APT 266, EUGENE, OR 97401-8866
(410) 227-2841
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25649
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1375
BLUE CROSS BLUE SHIELD-PACIFIC SOURCE
OR
Enumeration date
08/06/2020
Last updated
08/06/2020
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