Healthcare Provider Details

I. General information

NPI: 1629106133
Provider Name (Legal Business Name): JULIA ANN SPEIR LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 06/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1255 PEARL ST STE. 102
EUGENE OR
97401-3570
US

IV. Provider business mailing address

1255 PEARL ST STE. 102
EUGENE OR
97401-3570
US

V. Phone/Fax

Practice location:
  • Phone: 541-687-6983
  • Fax: 541-687-2063
Mailing address:
  • Phone: 541-687-6983
  • Fax: 541-687-2063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34761
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberL6947
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: