Provider Demographics
NPI:1316359607
Name:DELCARPIO, ANDREW (LMT)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:DELCARPIO
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:ANDREW
Other - Middle Name:
Other - Last Name:MCGUIRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:460 COBURG RD
Mailing Address - Street 2:SUITE 306
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-5531
Mailing Address - Country:US
Mailing Address - Phone:541-334-5000
Mailing Address - Fax:
Practice Address - Street 1:460 COBURG RD
Practice Address - Street 2:SUITE 306
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-5531
Practice Address - Country:US
Practice Address - Phone:541-334-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-21
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR20596173C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist