Healthcare Provider Details
I. General information
NPI: 1316570682
Provider Name (Legal Business Name): MEGAN TURNER, LCSW
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/14/2020
Last Update Date: 02/14/2020
Certification Date: 02/14/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1075 WASHINGTON ST STE 120
EUGENE OR
97401-3689
US
IV. Provider business mailing address
195 E 47TH AVE
EUGENE OR
97405-4807
US
V. Phone/Fax
- Phone: 541-357-0798
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| 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:
MEGAN
J
TURNER
Title or Position: OWNER/LCSW
Credential: LCSW
Phone: 541-357-0798