Organization
GLENNA MACKINNON LMT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENNA MACKINNON LMT (LICENSED MASSAGE THERAPIST)
(541) 525-6141
Entity
Organization
Contact information
Practice address
1605 OAK ST, EUGENE, OR 97401-4022
(541) 525-6141
Mailing address
115 ELKAY DR, EUGENE, OR 97404-3060
(541) 525-6141
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
5231
OR
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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