Organization
AVANTGARDE AESTHETIC AND WELLNESS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JELENA BLACKBURN ND (DIRECTOR)
(541) 238-2108
Entity
Organization
Contact information
Practice address
1000 WILLAGILLESPIE RD STE 175, EUGENE, OR 97401-7106
(541) 514-1727
Mailing address
1000 WILLAGILLESPIE RD STE 175, EUGENE, OR 97401-7106
(541) 514-1727
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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