| Left Coast Wellness | |
|
1355 Oak St Ste 100 Eugene OR 97401-3566 | |
| (541) 632-4014 | |
| (855) 433-4124 |
| Full Name | Left Coast Wellness |
|---|---|
| Speciality | Counselor |
| Location | 1355 Oak St Ste 100, Eugene, Oregon |
| Authorized Official Name and Position | Rachel Cazavilan (OWNER/THERAPIST) |
| Authorized Official Contact | 5416324014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Left Coast Wellness 1355 Oak St Ste 100 Eugene OR 97401-3566 Ph: (541) 632-4014 | Left Coast Wellness 1355 Oak St Ste 100 Eugene OR 97401-3566 Ph: (541) 632-4014 |
| NPI Number | 1578149928 |
|---|---|
| Provider Enumeration Date | 03/23/2021 |
| Last Update Date | 08/03/2021 |
| Certification Date | 08/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578149928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 133N00000X | Nutritionist | (* (Not Available)) | Secondary |
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