| Lisa Carlson | |
|
1001 Washington St Ste 6 Eugene OR 97401-3419 | |
| (541) 912-1040 | |
| Not Available |
| Full Name | Lisa Carlson |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1001 Washington St Ste 6, Eugene, Oregon |
| Authorized Official Name and Position | Lisa Carlson (THERAPIST / OWNER) |
| Authorized Official Contact | 5419121040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Carlson 1711 Willamette St Ste 301, Pmb 177 Eugene OR 97401 Ph: (541) 912-1040 | Lisa Carlson 1001 Washington St Ste 6 Eugene OR 97401-3419 Ph: (541) 912-1040 |
| NPI Number | 1528606555 |
|---|---|
| Provider Enumeration Date | 12/20/2019 |
| Last Update Date | 01/18/2024 |
| Certification Date | 01/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528606555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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