Individual
JOAN M MERRIMAN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
351 W 12TH AVE, EUGENE, OR 97401-3410
(541) 632-3565
Mailing address
1430 WILLAMETTE ST # 140, EUGENE, OR 97401-4049
(541) 632-3565
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19409
OR
Other
Enumeration date
07/21/2017
Last updated
05/04/2018
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