Individual
MICHAEL LESLIE WINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2911 TENNYSON AVE STE 204, EUGENE, OR 97408-4693
(541) 515-6194
Mailing address
1475 GREEN ACRES RD SPC 176, EUGENE, OR 97408-6549
(541) 968-8700
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21491
OR
Other
Enumeration date
03/09/2018
Last updated
03/17/2018
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