| Centro Latino Americano | |
|
944 W 5th Ave Eugene OR 97402-5106 | |
| (541) 687-2667 | |
| Not Available |
| Full Name | Centro Latino Americano |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 944 W 5th Ave, Eugene, Oregon |
| Authorized Official Name and Position | Jose Alfredo Marquez Alonso (COUNSELOR) |
| Authorized Official Contact | 5416972667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro Latino Americano 944 W 5th Ave Eugene OR 97402-5106 Ph: (541) 687-2667 | Centro Latino Americano 944 W 5th Ave Eugene OR 97402-5106 Ph: (541) 687-2667 |
| NPI Number | 1477332690 |
|---|---|
| Provider Enumeration Date | 09/26/2023 |
| Last Update Date | 10/02/2023 |
| Certification Date | 10/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477332690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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