Individual
KENNETH COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
938 W HILLIARD LN, EUGENE, OR 97404-3014
(541) 735-3643
(541) 735-3645
Mailing address
938 W HILLIARD LN, EUGENE, OR 97404-3014
(541) 735-3643
(541) 735-3645
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
519093
OR
Other
Enumeration date
07/03/2014
Last updated
08/04/2014
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