Individual
KERRY LEE MANSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.S.S.
Contact information
Practice address
687 CHESHIRE AVE, EUGENE, OR 97402-5060
(541) 684-4100
(541) 684-4156
Mailing address
687 CHESHIRE AVE, EUGENE, OR 97402-5060
(541) 684-4100
(541) 684-4156
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/10/2018
Last updated
01/06/2020
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