| Ernesto Vazquez, | |
|
1144 Gateway Loop Ste 200, Springfield, OR 97477-7706 | |
| (541) 279-4651 | |
| Not Available |
| Full Name | Ernesto Vazquez |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1144 Gateway Loop Ste 200, Springfield, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528782844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 101YA0400X (Oregon) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Ernesto Vazquez, 2555 Roosevelt Blvd Apt 5, Eugene, OR 97402-2549 Ph: (541) 279-4651 | Ernesto Vazquez, 1144 Gateway Loop Ste 200, Springfield, OR 97477-7706 Ph: (541) 279-4651 |
Nanci Rose Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 175 W B St, Building I, Springfield, OR 97477 Phone: 541-988-1025 | |
Dawn Edwards, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3995 Marcola Rd, Springfield, OR 97477 Phone: 541-726-1465 | |
Denise R. Gaudette, Counselor Medicare: Not Enrolled in Medicare Practice Location: 555 Main St, Springfield, OR 97477 Phone: 541-393-6452 | |
Kayla Ayne Pollard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1950 2nd St Apt J101, Springfield, OR 97477 Phone: 541-514-1996 | |
Martha Landers, MHR Counselor Medicare: Not Enrolled in Medicare Practice Location: 1403 F St, Springfield, OR 97477 Phone: 541-780-6213 | |
Callay Quinn Boire-shedd, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3995 Marcola Rd, Springfield, OR 97477 Phone: 541-726-1465 Fax: 541-726-5085 | |
Leslie Ann Prieto, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3995 Marcola Rd, Springfield, OR 97477 Phone: 541-726-1465 Fax: 541-726-5085 |