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NPI Code Detail

MEDICARE: WILLAMETTE FAMILY, INC

MEDICARE: WILLAMETTE FAMILY, INC
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
1101YM0800XMental Health Counselor
2251S00000XCommunity/Behavioral Health AgencyOR
3251V00000XVoluntary or Charitable Agency1739OR
4261QC1500XCommunity Health Clinic/Center
5101YA0400XAddiction (Substance Use Disorder) Counselor
6261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
7324500000XSubstance Abuse Rehabilitation FacilityOR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376546291
Entity Type Code : Organization
Provider Name (Legal Business Name) : WILLAMETTE FAMILY, INC
Provider Business Mailing Address
First Line : 687 CHESHIRE AVE
Second Line :
City : EUGENE
State : OR
Zip : 97402-5060
Country : US
Telephone Number : 541-684-4100
Fax Number : 541-684-4156
Provider Business Practice Location Address
First Line : 687 CHESHIRE AVE
Second Line :
City : EUGENE
State : OR
Zip : 97402-5060
Country : US
Telephone Number : 541-684-4100
Fax Number : 541-684-4156
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : EVA WILLIAMS
Credential :
Telephone Number : 541-762-4300
Provider Enumeration Date : 05/24/2005
Last Update Date : 01/06/2025

Similar Medicare Providers

1205782521 — KATHRYN LYNN MARK
Practice Location Address:
687 CHESHIRE AVE
EUGENE, OR
97402-5060
Practice Phone: 541-684-4100
Practice Fax:
1093713505 — VALERIE BALDWIN-THOMAS APRN, ACNP, PMHNP-BC
Practice Location Address:
687 CHESHIRE AVE
EUGENE, OR
97402-5060
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Practice Fax:
1114110087 — DANA LYNN MORRIS PSS
Practice Location Address:
687 CHESHIRE AVE
EUGENE, OR
97402-5060
Practice Phone: 541-343-2993
Practice Fax: 541-343-2338
1558504670 — REBECCA ANN HARRINGTON MA, MS, QMHP
Practice Location Address:
687 CHESHIRE AVE
EUGENE, OR
97402-5060
Practice Phone: 541-343-2993
Practice Fax:
1457656464 — THERESA OLSEN M.A.
Practice Location Address:
687 CHESHIRE AVE
EUGENE, OR
97402-5060
Practice Phone: 541-343-2993
Practice Fax:
1194024810 — LUCY LEONA ZAMMARELLI M.A.
Practice Location Address:
687 CHESHIRE AVE
EUGENE, OR
97402-5060
Practice Phone: 541-684-4136
Practice Fax: 541-684-4157

Directions to “WILLAMETTE FAMILY, INC ” Practice Location

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