Most Relevant Information
Provider Data
| NPI Number: | 1003307315 |
| Provider Name: | GUL IBRAHIM LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/22/2018 |
| Last Updated: | 05/22/2018 |
Provider Practice Location
1375 PEARL ST
EUGENE
OR
974013523
Practice Location Phone/Fax
| Phone: | 5416833377 |
| Fax: | 5414346747 |
Provider Mailing Location
1375 PEARL ST
EUGENE
OR
974013523
Provider Mailing Phone/Fax
| Phone: | 5416833377 |
| Fax: | 5414346747 |