Provider Demographics
NPI:1396993366
Name:ARRACHE, SONDRA RENEE (LMT, CA)
Entity type:Individual
Prefix:MRS
First Name:SONDRA
Middle Name:RENEE
Last Name:ARRACHE
Suffix:
Gender:F
Credentials:LMT, CA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1142 WILLAGILLESPIE RD
Mailing Address - Street 2:STE. 10
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-2142
Mailing Address - Country:US
Mailing Address - Phone:541-343-4913
Mailing Address - Fax:541-343-5426
Practice Address - Street 1:1142 WILLAGILLESPIE RD
Practice Address - Street 2:STE. 10
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2142
Practice Address - Country:US
Practice Address - Phone:541-343-4913
Practice Address - Fax:541-343-5426
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5672225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist