Organization
EUGENE THERAPIES
Active
Other names
Eugene Speech Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CORINNE JARVIS (CEO)
(503) 420-7744
Entity
Organization
Contact information
Practice address
1445 WILLAMETTE ST STE 3, EUGENE, OR 97401-4087
(541) 600-2028
(541) 843-2933
Mailing address
6314 SE 32ND AVE, PORTLAND, OR 97202-8506
(917) 374-5068
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500809891
—
OR
Enumeration date
09/21/2022
Last updated
07/11/2024
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