Healthcare Provider Details

I. General information

NPI: 1003843251
Provider Name (Legal Business Name): CHERI WEST LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 07/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2833 TULIP ST
EUGENE OR
97408-7176
US

IV. Provider business mailing address

2833 TULIP ST
EUGENE OR
97408-7176
US

V. Phone/Fax

Practice location:
  • Phone: 541-485-9922
  • Fax:
Mailing address:
  • Phone: 541-485-9922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberT0730
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC35912
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: