Healthcare Provider Details

I. General information

NPI: 1225857899
Provider Name (Legal Business Name): EUGENE BEHAVIORAL HEALTH LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2024
Last Update Date: 10/09/2024
Certification Date: 10/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 CLUB RD STE 360
EUGENE OR
97401-2463
US

IV. Provider business mailing address

38850 DEERHORN RD
SPRINGFIELD OR
97478-8540
US

V. Phone/Fax

Practice location:
  • Phone: 541-240-2100
  • Fax: 458-202-7028
Mailing address:
  • Phone: 971-563-2164
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. KRISTI KETRENOS STEINBACHER
Title or Position: DIRECTOR
Credential: PMHNP
Phone: 541-240-2100