Individual
IGNACIO SIFGRIDO RODRIGUEZ LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1907 GARDEN AVE, EUGENE, OR 97403-1962
(541) 510-2304
Mailing address
1404 M ST, SPRINGFIELD, OR 97477-3212
(541) 510-2304
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27507
OR
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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