Individual
JEANNE BANDONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2411 MARTIN LUTHER KING JR BLVD, EUGENE, OR 97401
(541) 682-3608
Mailing address
2411 MARTIN LUTHER KING JR BLVD, EUGENE, OR 97401-5824
(541) 682-3608
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OR
172V00000X
Community Health Worker
—
—
Other
Enumeration date
04/25/2018
Last updated
05/24/2018
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