MEDICARE: DAVID ANDREW DODSON MA QMHP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1144362443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID ANDREW DODSON MA QMHP

Provider Business Mailing Address
First Line	:	2145 CENTENNIAL PLZ
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97401-2421
Country	:	US
Telephone Number	:	541-485-6340
Fax Number	:	541-984-3124

Provider Business Practice Location Address
First Line	:	555 INTERNATIONAL WAY
Second Line	:
City	:	SPRINGFIELD
State	:	OR
Zip	:	97477-6013
Country	:	US
Telephone Number	:	541-799-3311
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	01/21/2020

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