Individual
PATRICIA ROSE PETTIT-BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
260 E 11TH AVE, EUGENE, OR 97401-3247
(541) 484-4428
Mailing address
260 E 11TH AVE, EUGENE, OR 97401-3247
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
04/10/2023
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