Individual
PAIGE MARGARETE IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1391 W 13TH AVE, EUGENE, OR 97402-3955
(503) 313-6960
Mailing address
1391 W 13TH AVE, EUGENE, OR 97402-3955
(503) 313-6960
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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