Healthcare Provider Details

I. General information

NPI: 1558223255
Provider Name (Legal Business Name): MICHELLE EHLERS PSS, CADC, CRM2
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1966 GARDEN AVE
EUGENE OR
97403-1933
US

IV. Provider business mailing address

1966 GARDEN AVE
EUGENE OR
97403-1933
US

V. Phone/Fax

Practice location:
  • Phone: 541-505-9190
  • Fax: 541-505-9264
Mailing address:
  • Phone: 541-505-9190
  • Fax: 541-505-9264

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberT-25-6078
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberTHW000113613
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: