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Individual

MR. CONNOR CHARLES BALDERSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
151 W 7TH AVE, SUITE #310, EUGENE, OR 97401
(541) 682-4041
(541) 682-2455
Mailing address
151 W 7TH AVE, SUITE #310, EUGENE, OR 97401
(541) 682-4041
(541) 682-2455

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
106650
OR

Other

Enumeration date
08/04/2022
Last updated
08/17/2022
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