Organization
CENTRO LATINOAMERICANO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SAEZ (EXECUTIVE DIRECTOR)
(541) 687-2667
Entity
Organization
Contact information
Practice address
944 W 5TH AVE, EUGENE, OR 97402-5106
(541) 687-2667
(541) 284-2139
Mailing address
944 W 5TH AVE, EUGENE, OR 97402-5106
(541) 687-2667
(541) 284-2139
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N/A
N/A
OR
Enumeration date
05/13/2010
Last updated
12/12/2017
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