Individual
CASEY FOREST RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 WASHINGTON ST STE 5, EUGENE, OR 97401-3419
(530) 955-1114
Mailing address
1120 VAN BUREN ST, EUGENE, OR 97402-4734
(530) 955-1114
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10405
OR
Other
Enumeration date
05/24/2019
Last updated
05/24/2019
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