Mr. Justin W Wilde
Mr. Justin W Wilde is a Counselor in Eugene, Oregon. Licensed in Oregon. Registered with an NPI since 2013.
- Licensed in
- OR
- In the registry since
- 2013
Practice location Address checks out
2517 Mlk Jr BlvdEugene, OR 97401-5898
Phone: (541) 342-4293
Fax: (541) 342-4832
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X (OR) |
|---|
Record details
| NPI number | 1679908883 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 6, 2013 |
| Last updated in NPPES | September 6, 2013 |
| Mailing address | 1790 W 11th Ave, Eugene, OR 97402-3758 |
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