Healthcare Provider Details

I. General information

NPI: 1609790658
Provider Name (Legal Business Name): ALISON PAIGE JEPPSEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 ECHO HOLLOW RD
EUGENE OR
97402-5899
US

IV. Provider business mailing address

2995 CAMROSE ST
EUGENE OR
97404-1726
US

V. Phone/Fax

Practice location:
  • Phone: 541-607-1430
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberR9620
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: