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General NPI Number Information
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NPI Number | 1225857899
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Entity Type | Organization
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Legal Business Name | EUGENE BEHAVIORAL HEALTH LLC.
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Dates
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Enumeration Date | 10/09/2024
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 66 CLUB RD STE 360
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City | EUGENE
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State | OR
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Zip | 97401-2463
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Country | US
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Telephone | 541-240-2100
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Fax | 458-202-7028
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Provider Business Mailing Address
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Address Line | 38850 DEERHORN RD
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City | SPRINGFIELD
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State | OR
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Zip | 97478-8540
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Country | US
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Telephone | 971-563-2164
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. KRISTI KETRENOS STEINBACHER
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Credential | PMHNP
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Telephone | 541-240-2100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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