Individual
MARISSA BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1375 PEARL ST, EUGENE, OR 97401-3523
(541) 683-3377
Mailing address
1375 PEARL ST, EUGENE, OR 97401-3523
(541) 683-3377
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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