Individual
DONALD RAY BROTHERS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSS, BA, THW
Contact information
Practice address
1195 CITY VIEW ST, EUGENE, OR 97402-3325
(541) 342-5088
Mailing address
1195 CITY VIEW ST, EUGENE, OR 97402-3325
(541) 342-5088
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW000109085
OR
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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