Healthcare Provider Details

I. General information

NPI: 1366691685
Provider Name (Legal Business Name): RBH CENTERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2008
Last Update Date: 09/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1755 COBURG RD BLDG 4-2
EUGENE OR
97401-4982
US

IV. Provider business mailing address

1755 COBURG RD BLDG 4-2
EUGENE OR
97401-4982
US

V. Phone/Fax

Practice location:
  • Phone: 541-684-3988
  • Fax: 541-686-2279
Mailing address:
  • Phone: 541-684-3988
  • Fax: 541-686-2279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code173C00000X
TaxonomyReflexologist
License Number
License Number StateOR
# 4
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number StateOR
# 5
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateOR

VII. Legacy identifiers

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

VIII. Authorized Official

Name: MS. DAWN GANDALF
Title or Position: ADMINISTRATOR
Credential: MHS, CADCIII, QMHP
Phone: 541-684-3988