Healthcare Provider Details
I. General information
NPI: 1609117209
Provider Name (Legal Business Name): JANETTE STRINGER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/06/2013
Last Update Date: 12/20/2023
Certification Date: 12/20/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2295 COBURG RD STE 201
EUGENE OR
97401-7489
US
IV. Provider business mailing address
2295 COBURG RD STE 201
EUGENE OR
97401-7489
US
V. Phone/Fax
- Phone: 541-331-0342
- Fax: 541-982-7666
- Phone: 541-331-0342
- Fax: 541-982-7666
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | L6843 |
| License Number State | OR |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
| # 1 | |
| Identifier | 1720105489 |
| Identifier Type | MEDICAID |
| Identifier State | OR |
| Identifier Issuer | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: