Most Relevant Information
Provider Data
| NPI Number: | 1003678046 |
| Provider Name: | JONATHAN RAMBOUSEK |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/25/2024 |
| Last Updated: | 01/25/2024 |
Provider Practice Location
1029 RIVER RD
EUGENE
OR
974043242
Practice Location Phone/Fax
| Phone: | 5412247585 |
| Fax: |
Provider Mailing Location
1029 RIVER RD
EUGENE
OR
974043242
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |