Individual
ZACHARY AARON RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSW
Contact information
Practice address
1170 PEARL ST, EUGENE, OR 97401-3541
(541) 743-4340
Mailing address
1170 PEARL ST, EUGENE, OR 97401-3541
(541) 743-4340
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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