Most Relevant Information
Provider Data
| NPI Number: | 1003259623 |
| Provider Name: | MARNIE L HACKBARTH LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | 16324 |
Most Important Dates
| Enumeration Date: | 04/12/2013 |
| Last Updated: | 05/13/2016 |
Provider Practice Location
895 COUNTRY CLUB RD
SUITE A140
EUGENE
OR
974016003
Practice Location Phone/Fax
| Phone: | 5414843055 |
| Fax: |
Provider Mailing Location
895 COUNTRY CLUB RD
SUITE A140
EUGENE
OR
974016003
Provider Mailing Phone/Fax
| Phone: | 5414843055 |
| Fax: |