Healthcare Provider Details

I. General information

NPI: 1427790013
Provider Name (Legal Business Name): TESHA MCNEILL-SHOLAR SHRIRO MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TESHA DANIELLE MCNEILL-SHOLAR SHRIRO MA

II. Dates (important events)

Enumeration Date: 04/12/2022
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1255 PEARL ST
EUGENE OR
97401-3570
US

IV. Provider business mailing address

3500 CHAD DR STE 350
EUGENE OR
97408-7602
US

V. Phone/Fax

Practice location:
  • Phone: 541-687-6983
  • Fax: 541-684-7638
Mailing address:
  • Phone: 541-687-6983
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC8614
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: