Individual
GORDON ODUOR OKUMU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
348 RUBY AVE, EUGENE, OR 97404-2033
(541) 956-4943
Mailing address
715 SW RAMSEY AVE, GRANTS PASS, OR 97527-5500
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101Y00000X
—
OR
Enumeration date
12/12/2017
Last updated
06/16/2018
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