Individual
EVA BAGNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
655 W 27TH AVE, EUGENE, OR 97405-2535
(541) 345-1296
Mailing address
655 W 27TH AVE, EUGENE, OR 97405-2535
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
—
OR
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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