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NPI Code Detail

MEDICARE: MR. BRUCE MITCHELL HINSON M.A.

MEDICARE: MR. BRUCE MITCHELL HINSON M.A.
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
1101YA0400XAddiction (Substance Use Disorder) Counselor92-R-01OR

General Provider Information

NPI Number : 1932268315
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRUCE MITCHELL HINSON M.A.
Provider Business Mailing Address
First Line : 1741 ESCALANTE ST
Second Line :
City : EUGENE
State : OR
Zip : 97404-2388
Country : US
Telephone Number : 541-968-5345
Fax Number :
Provider Business Practice Location Address
First Line : 135 E 6TH AVE # 109
Second Line :
City : EUGENE
State : OR
Zip : 97401-2618
Country : US
Telephone Number : 541-682-3973
Fax Number : 541-968-3967
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2006
Last Update Date : 07/08/2007

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