Healthcare Provider Details

I. General information

NPI: 1114015013
Provider Name (Legal Business Name): PATRICIA L. NORBERG M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2411 MARTIN LUTHER KING JR BLVD
EUGENE OR
97401-5824
US

IV. Provider business mailing address

1135 W 18TH AVE
EUGENE OR
97402-3941
US

V. Phone/Fax

Practice location:
  • Phone: 541-682-7588
  • Fax: 541-682-7598
Mailing address:
  • Phone: 541-345-9409
  • Fax:

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: