| Dr. Stacie Rowan, Llc | |
|
132 E Broadway Ste 301 Eugene OR 97401-3154 | |
| (541) 337-5301 | |
| (844) 671-7143 |
| Full Name | Dr. Stacie Rowan, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 132 E Broadway Ste 301, Eugene, Oregon |
| Authorized Official Name and Position | Stacie Lee Fishell Rowan (AO/PSYCHOLOGIST) |
| Authorized Official Contact | 5413375301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Stacie Rowan, Llc 132 E Broadway Ste 301 Eugene OR 97401-3154 Ph: (541) 337-5301 | Dr. Stacie Rowan, Llc 132 E Broadway Ste 301 Eugene OR 97401-3154 Ph: (541) 337-5301 |
| NPI Number | 1932758224 |
|---|---|
| Provider Enumeration Date | 09/09/2019 |
| Last Update Date | 12/09/2019 |
| Certification Date | 12/09/2019 |
| Medicare PECOS PAC ID | 8022446111 |
|---|---|
| Medicare Enrollment ID | O20200324002370 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932758224 | NPI | - | NPPES |
| Provider Name | Stacie Lf Rowan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578937298 PECOS PAC ID: 3678901832 Enrollment ID: I20200323000034 |
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