Provider Demographics
NPI:1609091024
Name:TOWNE, JOYCE MAE (LAC OREGON)
Entity Type:Individual
Prefix:MISS
First Name:JOYCE
Middle Name:MAE
Last Name:TOWNE
Suffix:
Gender:F
Credentials:LAC OREGON
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1661 ACORN PARK ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-3135
Mailing Address - Country:US
Mailing Address - Phone:541-968-5152
Mailing Address - Fax:
Practice Address - Street 1:492 W BROADWAY
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2834
Practice Address - Country:US
Practice Address - Phone:541-968-5152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR0786171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist