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NPI Code Detail

MEDICARE: MR. ELDON ARTHUR RICHEY LMFT

MEDICARE:  MR. ELDON ARTHUR RICHEY  LMFT
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
1106H00000XMarriage & Family Therapist8762CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18762OTHERCAPROFESSIONAL LICENSE

General Provider Information

NPI Number : 1871552422
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ELDON ARTHUR RICHEY LMFT
Provider Business Mailing Address
First Line : 2440 WILLAMETTE ST STE 201
Second Line :
City : EUGENE
State : OR
Zip : 97405-3170
Country : US
Telephone Number : 415-321-2278
Fax Number : 412-468-8265
Provider Business Practice Location Address
First Line : 2440 WILLAMETTE ST STE 201
Second Line :
City : EUGENE
State : OR
Zip : 97405-3170
Country : US
Telephone Number : 415-321-2278
Fax Number : 412-468-8265
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2006
Last Update Date : 07/19/2023

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Directions to “ MR. ELDON ARTHUR RICHEY LMFT” Practice Location

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