Active NPIIndividual provider

Tayler A Bruder, CSWA, QMHP, CADC

Social Worker, Clinical in Eugene, Oregon

NPI Number1003464736
Practice location
341 E 12TH Ave, Eugene, OR 97401-3275
Fax
541-681-3294
Last updated
April 20, 2026

Tayler A Bruder is a Social Worker, Clinical based in Eugene, OR. Tayler A Bruder practices in Eugene, OR and has the professional credentials of CSWA, QMHP, CADC. The NPI Number for Tayler A Bruder is 1003464736 and holds a License No. A17888 (OR). The current practice location address for Tayler A Bruder is 341 E 12TH Ave, Eugene, OR 97401-3275 and can be reached out via phone at 541-683-1641 and via fax at 541-681-3294.

Provider Profile Details

NPI Number
1003464736
Provider Name
Tayler A Bruder
Credential
CSWA, QMHP, CADC
Provider Entity Type
Individual
Gender
Female
Address
341 E 12TH Ave, Eugene, OR 97401-3275
Phone Number
541-683-1641
Fax Number
541-681-3294
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 27, 2019
Last Update Date
April 20, 2026
Certification Date
April 20, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
341 E 12TH Ave
Eugene, OR 97401-3275
City
Eugene
State
Oregon
Zip
97401-3275
Phone Number
541-683-1641
Fax Number
541-681-3294
Eugene, OR 97401Get directions →

Provider Business Mailing Address Details

Address
341 E 12TH Ave
Eugene, OR 97401-3275
City
Eugene
State
OR
Zip
97401-3275
Phone Number
541-683-1641
Fax Number
541-681-3294

License Information

License State (1)
OR
Taxonomy (1)
Substance Abuse Rehabilitation Facility · 324500000X
Taxonomy (2)
Counselor, Mental Health · 101YM0800X
License Number (3)
A17888
License State (3)
OR
Taxonomy (3)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tayler A Bruder, CSWA, QMHP, CADC?

The NPI number of Tayler A Bruder, CSWA, QMHP, CADC is 1003464736. It was assigned on August 27, 2019 and is currently active in the NPPES registry.

What is the specialty of Tayler A Bruder, CSWA, QMHP, CADC?

Tayler A Bruder, CSWA, QMHP, CADC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in OR under license number A17888.

Where does Tayler A Bruder, CSWA, QMHP, CADC practice?

The practice location is 341 E 12TH Ave, Eugene, OR 97401-3275. The office can be reached at 541-683-1641 (phone) or 541-681-3294 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003464736 directly on the NPPES registry website.

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