Individual
MR. CHRIS P MULDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT 17840
Contact information
Practice address
1692 BREWER AVE, EUGENE, OR 97401-1915
(210) 621-5589
Mailing address
1692 BREWER AVE, EUGENE, OR 97401-1915
(210) 621-5589
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
17840
OR
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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