Most Relevant Information
Provider Data
NPI Number: | 1003464736 |
Provider Name: | TAYLER A BRUDER |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 08/27/2019 |
Last Updated: | 02/02/2024 |
Provider Practice Location
1170 PEARL ST
EUGENE
OR
974013541
Practice Location Phone/Fax
Phone: | 5417434340 |
Fax: | 5417434369 |
Provider Mailing Location
1170 PEARL ST
EUGENE
OR
974013541
Provider Mailing Phone/Fax
Phone: | 5417434340 |
Fax: | 5417434369 |