NPI 1063849081

Michelle Lynn Ditter, LMT

Practitioner Specialist Eugene, OR

Practice location

Address: 5 E 24th Ave, Eugene, OR 97405-2907
Phone: (541) 359-8617
Mailing address: 750 Walnut Ave, Eugene, OR 97404-3150

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 17348 (OR)

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Registry record

NPI: 1063849081
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Oct 2013
Record last updated: 4 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.