Healthcare Provider Details

I. General information

NPI: 1417277039
Provider Name (Legal Business Name): SHARON KATHLEEN GUINEE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2010
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3003 WILLAMETTE ST
EUGENE OR
97405-3241
US

IV. Provider business mailing address

PO BOX 51506
EUGENE OR
97405-0909
US

V. Phone/Fax

Practice location:
  • Phone: 541-345-4430
  • Fax: 541-345-4430
Mailing address:
  • Phone: 541-345-4430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberL6362
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: