| Sheltercare | |
|
499 W 4th Ave Eugene OR 97401-2505 | |
| (541) 686-1262 | |
| (541) 686-0359 |
| Full Name | Sheltercare |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 499 W 4th Ave, Eugene, Oregon |
| Authorized Official Name and Position | Karen Etter (CONTROLLER) |
| Authorized Official Contact | 5416861262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheltercare 499 W 4th Ave Eugene OR 97401-2505 Ph: (541) 686-1262 | Sheltercare 499 W 4th Ave Eugene OR 97401-2505 Ph: (541) 686-1262 |
| NPI Number | 1376690107 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 04/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376690107 | NPI | - | NPPES |
| 509446 | Medicaid | OR | |
| 509352 | Medicaid | OR | |
| 223701 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | (* (Not Available)) | Secondary |
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