Most Relevant Information
Provider Data
| NPI Number: | 1003664129 |
| Provider Name: | MANUEL MEJIA GONZALEZ CHW |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: | THW000110435 |
Most Important Dates
| Enumeration Date: | 05/13/2024 |
| Last Updated: | 05/13/2024 |
Provider Practice Location
151 W 7TH AVE RM 560
EUGENE
OR
974011100
Practice Location Phone/Fax
| Phone: | 5418523891 |
| Fax: |
Provider Mailing Location
151 W 7TH AVE RM 560
EUGENE
OR
974011100
Provider Mailing Phone/Fax
| Phone: | 5418523891 |
| Fax: |