Healthcare Provider Details

I. General information

NPI: 1780400838
Provider Name (Legal Business Name): PNWCOUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2024
Last Update Date: 11/22/2024
Certification Date: 11/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4168 W 1ST AVE
EUGENE OR
97402-9392
US

IV. Provider business mailing address

4168 W 1ST AVE
EUGENE OR
97402-9392
US

V. Phone/Fax

Practice location:
  • Phone: 503-208-4226
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ADRIENNE ADELBERG
Title or Position: MANAGING MEMBER
Credential: MS, LPC
Phone: 503-208-4226