Healthcare Provider Details

I. General information

NPI: 1033278437
Provider Name (Legal Business Name): BILLIE R FISHER M.S.W., QMHP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2006
Last Update Date: 10/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

995 W 7TH AVE
EUGENE OR
97402-4611
US

IV. Provider business mailing address

1790 W 11TH AVE STE 290
EUGENE OR
97402-3759
US

V. Phone/Fax

Practice location:
  • Phone: 541-302-9195
  • Fax: 541-302-0889
Mailing address:
  • Phone: 541-686-1262
  • Fax: 541-686-0359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: