Healthcare Provider Details

I. General information

NPI: 1336055235
Provider Name (Legal Business Name): WILLIAM CURTIS STEWART CADC-R
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

990 GARFIELD ST
EUGENE OR
97402-2707
US

IV. Provider business mailing address

2459 NW GRANT AVE
CORVALLIS OR
97330-4354
US

V. Phone/Fax

Practice location:
  • Phone: 805-862-7539
  • Fax:
Mailing address:
  • Phone: 805-862-7539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: