Healthcare Provider Details

I. General information

NPI: 1952115198
Provider Name (Legal Business Name): GRIFFIN & ASSOCIATED PRACTITIONERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2025
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 CLUB RD STE 350
EUGENE OR
97401-2599
US

IV. Provider business mailing address

66 CLUB RD STE 350
EUGENE OR
97401-2599
US

V. Phone/Fax

Practice location:
  • Phone: 541-343-1728
  • Fax: 855-282-3544
Mailing address:
  • Phone: 541-343-1728
  • Fax: 855-282-3544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 4
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: LISA GRIFFIN
Title or Position: PRESIDENT
Credential:
Phone: 541-343-1728