Individual
KEVIN CHARLES MALONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
190 E 18TH AVE, EUGENE, OR 97401-4160
(541) 484-2225
Mailing address
190 E 18TH AVE, EUGENE, OR 97401-4160
(541) 484-2225
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15858
OR
Other
Enumeration date
12/02/2008
Last updated
12/02/2008
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