Individual
OMOLARA LYNETTE OPEIFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
190 E 18TH AVE, EUGENE, OR 97401-4160
(541) 484-2225
Mailing address
2920 PEARL ST, EUGENE, OR 97405-3716
(541) 207-5966
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21479
OR
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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