Individual
LAURA WILLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2162 RIVERVIEW ST, EUGENE, OR 97403-2238
(541) 485-1577
Mailing address
2162 RIVERVIEW ST, EUGENE, OR 97403-2238
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16-06-24
OR
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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