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1710629589
SHANNON JEANNETTE EIVERS
EUGENE, OR
NPI
1710629589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-22-1536)
Enumeration Date
2022-04-11
Last Update Date
2022-04-18
Business Address
Ms. SHANNON JEANNETTE EIVERS
605 W 4TH AVE
EUGENE, OR 97402-5022
Phone number: 541-762-4575
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Mailing Address
Ms. SHANNON JEANNETTE EIVERS
687 CHESHIRE AVE
EUGENE, OR 97402-5060
Phone number: 541-684-4100
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