Healthcare Provider Details

I. General information

NPI: 1801921226
Provider Name (Legal Business Name): DIANA BUDD MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 11/21/2024
Certification Date: 11/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1997 GARDEN AVE
EUGENE OR
97403-1934
US

IV. Provider business mailing address

1870 MONROE ST
EUGENE OR
97402-4072
US

V. Phone/Fax

Practice location:
  • Phone: 541-344-5978
  • Fax: 541-344-1830
Mailing address:
  • Phone: 541-342-4967
  • 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:

# 1
Identifier101YM0800X
Identifier TypeOTHER
Identifier StateOR
Identifier Issuer10 BEHAVIORAL HEALTH AND SOCIA LSERVICE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: