Individual
ALEXANDRIA KINSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSS
Contact information
Practice address
1200 HILYARD ST, EUGENE, OR 97401-8122
(458) 205-7070
Mailing address
351 3/4 W 10TH AVE, EUGENE, OR 97401
(541) 335-9497
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
105919
OR
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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