| Frederick Dygert, Lcsw | |
|
1445 Willamette St Ste 2b Eugene OR 97401-4087 | |
| (541) 520-1679 | |
| Not Available |
| Full Name | Frederick Dygert, Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1445 Willamette St Ste 2b, Eugene, Oregon |
| Authorized Official Name and Position | Frederick Dygert (OWNER) |
| Authorized Official Contact | 5415201679 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick Dygert, Lcsw 1430 Willamette St # 608 Eugene OR 97401-4049 Ph: (541) 520-1679 | Frederick Dygert, Lcsw 1445 Willamette St Ste 2b Eugene OR 97401-4087 Ph: (541) 520-1679 |
| NPI Number | 1164021044 |
|---|---|
| Provider Enumeration Date | 10/21/2020 |
| Last Update Date | 10/21/2020 |
| Certification Date | 10/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164021044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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