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Mrs. Mary T. Streeter
Lodging Provider in Eugene, Oregon
NPI 1265591010

Mary T. Streeter is a Lodging Provider based in Eugene, OR. Mary T. Streeter practices in Eugene, OR. The NPI Number for Mary T. Streeter is 1265591010 and holds a License No. 2011-506306-0711-REL (Oregon).

The current practice location address for Mary T. Streeter is 3577 Hawthorne Ave, Eugene, OR and can be reached out via phone at 541-688-0460.

Location: 3577 Hawthorne Ave, Eugene, OR, 97402-1917
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265591010
Provider Name
Mary T. Streeter
Credential
Provider Entity Type
Individual
Gender
Female
Address
3577 Hawthorne Ave, Eugene, OR, 97402-1917
Phone Number
541-688-0460
Fax Number
Provider Enumeration Date
12/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2011-506306-0711-REL 01 OR RELATIVE FOSTER CARE
institution
Provider Business Practice Location Address Details
Address
3577 Hawthorne Ave
City
Eugene
State
Oregon
Zip
97402-1917
Phone Number
541-688-0460
Fax Number
person
Provider Business Mailing Address Details
Address
3577 Hawthorne Ave
City
Eugene
State
Oregon
Zip
97402-1917
Phone Number
541-688-0460
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Lodging
Speciality
-
Taxonomy
177F00000X
License No.
2011-506306-0711-REL (Oregon)
Definition
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
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