Individual provider · NPI-1

Haven Garrott

Technician, Attendant Care Provider · Eugene, OR

NPI number1639891872
StatusActive
Last updated in NPPESSep 14, 2022

Details

NPI
1639891872
Entity type
Individual (NPI-1)
Name
Haven Garrott
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 14, 2022
Certification date
Sep 14, 2022
Last updated
Sep 14, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747A0650X Technician, Attendant Care Provider––Yes

Practice location

2250 Churchill St
Eugene, OR 97405-1008

Phone 541-359-7977

Mailing address

2201 Pierce St
Eugene, OR 97405-1624

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