Individual
DAVID WAYNE BRAUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
28465 SUTHERLIN LN, EUGENE, OR 97405-9400
(541) 731-0331
Mailing address
28465 SUTHERLIN LN, EUGENE, OR 97405-9400
(541) 731-0331
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
225700000X
Massage Therapist
Primary
26220
OR
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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