Dr Thomas M Fauria, PHD | |
2650 Suzanne Way 120, Eugene, OR 97408-7619 | |
(541) 345-2800 | |
(541) 345-4419 |
Full Name | Dr Thomas M Fauria |
---|---|
Gender | Male |
Speciality | Psychologist - Clinical |
Location | 2650 Suzanne Way 120, Eugene, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255544425 | NPI | - | NPPES |
810573161 | Other | OR | CLINIC TAX ID |
844704003 | Other | OR | REGENCE BCBSO PROV NO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 722 (Oregon) | Primary |
Entity Name | Willamette Community Health Solutions |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255379566 PECOS PAC ID: 5496667578 Enrollment ID: O20031105000745 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas M Fauria, PHD 2650 Suzanne Way 120, Eugene, OR 97408-7619 Ph: (541) 345-2800 | Dr Thomas M Fauria, PHD 2650 Suzanne Way 120, Eugene, OR 97408-7619 Ph: (541) 345-2800 |
Philip Andrew Fisher, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1170 Pearl St, Eugene, OR 97401 Phone: 541-743-4340 Fax: 541-743-4369 | |
Thomas F Keefe, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1200 Hilyard St, Suite 420, Eugene, OR 97401 Phone: 541-744-0828 Fax: 541-687-6214 | |
Dr. Kris S Hallenburg, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 66 Club Rd, Ste 120, Eugene, OR 97401 Phone: 541-393-5983 Fax: 541-393-5984 | |
Erik D Sorensen, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 511 E 12th Ave, Eugene, OR 97401 Phone: 541-345-8749 Fax: 541-344-7595 | |
Elizabeth Ryann Watson-stites, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 901 East 18th Ave, Eugene, OR 97403 Phone: 541-346-3575 | |
Mrs. Jenelle M'lou Braun Stone, MA, MS, MS, PH.D. - Psychologist Medicare: Medicare Enrolled Practice Location: 132 E Broadway, Ste 332, Eugene, OR 97401 Phone: 541-915-1600 Fax: 541-359-4433 | |
Mr. Jack Blanton Wills, M.S., P.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1414 Kincaid St, Eugene, OR 97401 Phone: 541-505-2080 |