Individual
JUSTINE BRIANNA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 COBURG RD STE C, EUGENE, OR 97401-6114
(541) 525-3139
Mailing address
315 COBURG RD STE C, EUGENE, OR 97401-6114
(541) 525-3139
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
175T00000X
OR
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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