Individual
HEATHER HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSS
Contact information
Practice address
1966 GARDEN AVE, EUGENE, OR 97403-1933
(541) 505-9190
(541) 505-9264
Mailing address
1966 GARDEN AVE, EUGENE, OR 97403-1933
(541) 505-9190
(541) 505-9264
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW000110939
OR
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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