MICAH DOMINIC ECKBURG

EUGENE, OR
NPI1982444824
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Additional Taxonomies175T00000X Peer Specialist
(Licence: OR  111140)
Enumeration Date2024-05-29
Last Update Date2024-05-29
Business Address
Mr. MICAH DOMINIC ECKBURG PSS
715 LINCOLN ST
EUGENE, OR 97401-2502
Phone number: 541-344-3574
Mailing Address
Mr. MICAH DOMINIC ECKBURG PSS
82272 RIVER DR
CRESWELL, OR 97426-9861
Phone number: 541-206-7673