Healthcare Provider Details

I. General information

NPI: 1083577068
Provider Name (Legal Business Name): HALEY ROSE MCGEE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1652 NW HUGHWOOD CT
ROSEBURG OR
97471-8844
US

IV. Provider business mailing address

2051 GALE ST
ROSEBURG OR
97471-4716
US

V. Phone/Fax

Practice location:
  • Phone: 641-673-3985
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: