Individual
KIYOMI MANABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
78 CENTENNIAL LOOP, STE A, EUGENE, OR 97401-7909
(503) 956-3436
Mailing address
78 CENTENNIAL LOOP, STE A, EUGENE, OR 97401-7909
(503) 956-3436
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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