NPI 1578723912

Susan M Oldland, LMT

Practitioner Contractor Eugene, OR

Practice location

Address: 1755 Coburg Rd Bldg 4, STE 2, Eugene, OR 97401-4982
Phone: (541) 684-3988
Mailing address: 86451 Franklin Blvd, Eugene, OR 97405-9642

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 14948 (OR)

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Registry record

NPI: 1578723912
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jun 2008
Record last updated: 10 Jun 2008

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.