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NPI Code Detail

MEDICARE: PATRICIA JOAN CROSBY-WHITE

MEDICARE: PATRICIA JOAN CROSBY-WHITE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1568163889
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA JOAN CROSBY-WHITE
Provider Business Mailing Address
First Line : 78 CENTENNIAL LOOP STE A
Second Line :
City : EUGENE
State : OR
Zip : 97401-7900
Country : US
Telephone Number : 541-393-0777
Fax Number : 541-687-9279
Provider Business Practice Location Address
First Line : 627 NE EVANS ST
Second Line :
City : MCMINNVILLE
State : OR
Zip : 97128-3923
Country : US
Telephone Number : 503-434-7523
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2023
Last Update Date : 04/13/2026

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Directions to “ PATRICIA JOAN CROSBY-WHITE ” Practice Location

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