Individual
THERESE M PICADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1375 PEARL ST, EUGENE, OR 97401-3523
(541) 683-3377
Mailing address
1375 PEARL ST, EUGENE, OR 97401-3523
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17148
OR
Other
Enumeration date
10/01/2010
Last updated
10/01/2010
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