MICHAEL SHANE IDDINGS

EUGENE, OR
NPI1154151389
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-08-02
Last Update Date2024-08-02
Business Address
MICHAEL SHANE IDDINGS
1420 GREEN ACRES RD
EUGENE, OR 97408-1791
Phone number: 541-762-4511
Mailing Address
MICHAEL SHANE IDDINGS
687 CHESHIRE AVE
EUGENE, OR 97402-5060
Phone number:
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