Individual
DIA COUTTOUW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1375 PEARL ST, EUGENE, OR 97401-3523
(541) 683-3377
Mailing address
1375 PEARL ST, EUGENE, OR 97401-3523
(541) 683-3377
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
462071391
—
OR
Enumeration date
06/27/2018
Last updated
06/27/2018
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