Healthcare Provider Details

I. General information

NPI: 1023938107
Provider Name (Legal Business Name): EMILY BARAN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 W 13TH AVE STE 104
EUGENE OR
97401-3675
US

IV. Provider business mailing address

PO BOX 5188
EUGENE OR
97405-0188
US

V. Phone/Fax

Practice location:
  • Phone: 541-351-8507
  • Fax:
Mailing address:
  • Phone: 541-351-8507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: EMILY BARAN
Title or Position: MANAGING MEMBER
Credential:
Phone: 541-351-8507