Individual
RON MIYAGUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1590 EAST 13TH AVE., EUGENE, OR 97403
(541) 346-3227
Mailing address
1590 EAST 13TH AVE., EUGENE, OR 97403
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1503
OR
Other
Enumeration date
03/06/2015
Last updated
03/06/2015
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