Individual
BUDDY LEE PURVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1814 CAL YOUNG RD APT 92, EUGENE, OR 97401-2018
(541) 214-4967
Mailing address
1814 CAL YOUNG RD APT 92, EUGENE, OR 97401-2018
(541) 214-4967
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19235
OR
225700000X
Massage Therapist
LMT-19235
OR
Other
Enumeration date
03/21/2013
Last updated
03/13/2020
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