Healthcare Provider Details

I. General information

NPI: 1598670275
Provider Name (Legal Business Name): MORIAH FAY HAGER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

72A CENTENNIAL LOOP STE 180
EUGENE OR
97401-2454
US

IV. Provider business mailing address

30 E 33RD AVE PO BOX 5851
EUGENE OR
97405-3819
US

V. Phone/Fax

Practice location:
  • Phone: 541-937-5435
  • Fax:
Mailing address:
  • Phone: 541-937-5435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MORIAH FAY HAGER
Title or Position: MENTAL HEALTH THERAPIST
Credential: LPC
Phone: 541-937-5435