Reveille Foundation | |
1190 W 6th Ave Eugene OR 97402-4610 | |
(602) 369-3531 | |
Not Available |
Full Name | Reveille Foundation |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1190 W 6th Ave, Eugene, Oregon |
Authorized Official Name and Position | Steven Douglas Yamamori (PRESIDENT/CEO) |
Authorized Official Contact | 6023693531 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Reveille Foundation 1711 Willamette Street Suite 301, #779 Eugene OR 97401-1914 Ph: (602) 369-3531 | Reveille Foundation 1190 W 6th Ave Eugene OR 97402-4610 Ph: (602) 369-3531 |
NPI Number | 1134883887 |
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Provider Enumeration Date | 10/28/2021 |
Last Update Date | 11/08/2024 |
Certification Date | 11/08/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134883887 | NPI | - | NPPES |
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