Healthcare Provider Details

I. General information

NPI: 1750784740
Provider Name (Legal Business Name): EMILY PYLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2014
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

291 W 12TH AVE
EUGENE OR
97401-3409
US

IV. Provider business mailing address

480 DAVIS ST
EUGENE OR
97402-2326
US

V. Phone/Fax

Practice location:
  • Phone: 541-632-3994
  • Fax: 833-485-4517
Mailing address:
  • Phone: 541-632-3994
  • Fax: 541-942-9310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC4687
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC4687
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: