Individual
LUCY EIGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
925 NW DAVIS ST, PORTLAND, OR 97209-3103
(503) 781-5515
Mailing address
PO BOX 4044, PORTLAND, OR 97208-4044
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11330
OR
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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