| Riisa Humphrey | |
|
1142 Willagillespie Rd Ste 22 Eugene OR 97401-6723 | |
| (541) 970-1970 | |
| Not Available |
| Full Name | Riisa Humphrey |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1142 Willagillespie Rd Ste 22, Eugene, Oregon |
| Authorized Official Name and Position | Riisa Lea Humphrey (OWNER/THERAPIST) |
| Authorized Official Contact | 5415052100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riisa Humphrey 1142 Willagillespie Rd Ste 22 Eugene OR 97401-6723 Ph: (541) 970-1970 | Riisa Humphrey 1142 Willagillespie Rd Ste 22 Eugene OR 97401-6723 Ph: (541) 970-1970 |
| NPI Number | 1730922634 |
|---|---|
| Provider Enumeration Date | 06/17/2024 |
| Last Update Date | 06/17/2024 |
| Certification Date | 06/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730922634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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