Glenna Mackinnon Lmt | |
1605 Oak St Eugene OR 97401-4022 | |
(541) 525-6141 | |
Not Available |
Full Name | Glenna Mackinnon Lmt |
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Speciality | Clinic/center |
Location | 1605 Oak St, Eugene, Oregon |
Authorized Official Name and Position | Glenna Mackinnon (LICENSED MASSAGE THERAPIST) |
Authorized Official Contact | 5415256141 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Glenna Mackinnon Lmt 115 Elkay Dr Eugene OR 97404-3060 Ph: (541) 525-6141 | Glenna Mackinnon Lmt 1605 Oak St Eugene OR 97401-4022 Ph: (541) 525-6141 |
NPI Number | 1497017396 |
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Provider Enumeration Date | 06/15/2012 |
Last Update Date | 06/15/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497017396 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 5231 (Oregon) | Primary |
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