Matthew Trout, | |
2222 Coburg Rd Ste 100, Eugene, OR 97401-4988 | |
(458) 210-2984 | |
(458) 210-2985 |
Full Name | Matthew Trout |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 2222 Coburg Rd Ste 100, Eugene, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235568650 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | C6006 (Oregon) | Primary |
Entity Name | Nw Mind-body Wellness, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467969220 PECOS PAC ID: 1355600529 Enrollment ID: O20180116000223 |
Mailing Address | Practice Location Address |
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Matthew Trout, 3587 Heathrow Way, Medford, OR 97504-4004 Ph: (541) 858-8170 | Matthew Trout, 2222 Coburg Rd Ste 100, Eugene, OR 97401-4988 Ph: (458) 210-2984 |
Donald Schaefer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 71 Centennial Loop Ste A, Eugene, OR 97401 Phone: 541-505-8426 Fax: 541-515-6938 | |
Miss Rose Marie Woodfin, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 780 Hwy 99 N, Eugene, OR 97402 Phone: 541-461-2845 | |
Maleah Lynn Obie Barrett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1258 High St, Eugene, OR 97401 Phone: 541-342-8437 | |
David Zeiss, Counselor Medicare: Not Enrolled in Medicare Practice Location: 341 E 12th Ave, Eugene, OR 97401 Phone: 541-342-8255 | |
Jennifer Karen Gerrard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1720 W 25th Ave, Eugene, OR 97405 Phone: 541-343-9706 Fax: 541-683-3748 | |
Mr. Adam David Couch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3692 Hickory Ave, Eugene, OR 97401 Phone: 541-284-7800 | |
Susan Elizabeth Pepper-reed, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1258 High St, Eugene, OR 97401 Phone: 541-342-8437 Fax: 541-242-2999 |