Individual
CHRISTIE MIRACLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2222 MARTIN LUTHER KING JR BLVD, EUGENE, OR 97401-2475
(541) 224-6987
Mailing address
409 BROADWAY ST, SPRINGFIELD, OR 97477-3022
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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