Individual
CARRIE REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
825 MONROE ST STE 2A, EUGENE, OR 97402
(541) 222-0841
Mailing address
871 E 28TH AVE, EUGENE, OR 97405-4127
(541) 222-0841
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16188
OR
Other
Enumeration date
08/23/2011
Last updated
08/06/2019
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