Individual
MRS. LORI L MATTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2510 WILLAKENZIE RD, EUGENE, OR 97401-4805
(541) 687-7613
(541) 687-7616
Mailing address
2510 WILLAKENZIE RD, EUGENE, OR 97401-4805
(541) 687-7613
(541) 687-7616
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
CPT 0000891
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CPT 0000891
TECHNICIAN
OR
Enumeration date
02/13/2012
Last updated
02/13/2012
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