Individual
MARY J THIMMESCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., MSOM
Contact information
Practice address
395 W BROADWAY, EUGENE, OR 97401-2869
(541) 683-6337
Mailing address
110 N JACKSON ST, EUGENE, OR 97402-4236
(541) 684-5993
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01080
OR
Other
Enumeration date
03/16/2011
Last updated
03/16/2011
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