Active NPIIndividual provider

Georgia M Bronson, CADC II

Counselor, Addiction (Substance Use Disorder) in Eugene, Oregon

NPI Number1275188328
Practice location
4211 W 11TH Ave, Eugene, OR 97402-5435
Fax
541-242-2853
Last updated
August 6, 2019

Georgia Marie Bronson is a Counselor, Addiction (Substance Use Disorder) based in Eugene, OR. Georgia Marie Bronson practices in Eugene, OR and has the professional credentials of CADC II. The NPI Number for Georgia Marie Bronson is 1275188328 and holds a License No. 96-04-08 (OR). The current practice location address for Georgia Marie Bronson is 4211 W 11TH Ave, Eugene, OR 97402-5435 and can be reached out via phone at 541-485-1577 and via fax at 541-242-2853.

Provider Profile Details

NPI Number
1275188328
Provider Name
Georgia Marie Bronson
Credential
CADC II
Provider Entity Type
Individual
Gender
Female
Address
4211 W 11TH Ave, Eugene, OR 97402-5435
Phone Number
541-485-1577
Fax Number
541-242-2853
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Other Names
Georgia Bronson (Professional Name)
Provider Enumeration Date
August 6, 2019
Last Update Date
August 6, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
4211 W 11TH Ave
Eugene, OR 97402-5435
City
Eugene
State
Oregon
Zip
97402-5435
Phone Number
541-485-1577
Fax Number
541-242-2853
Eugene, OR 97402Get directions →

Provider Business Mailing Address Details

Address
4211 W 11TH Ave
Eugene, OR 97402-5435
City
Eugene
State
OR
Zip
97402-5435
Phone Number
541-485-1577
Fax Number
541-242-2853

License Information

License Number
96-04-08
License State
OR
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · 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 Georgia M Bronson, CADC II?

The NPI number of Georgia M Bronson, CADC II is 1275188328. It was assigned on August 6, 2019 and is currently active in the NPPES registry.

What is the specialty of Georgia M Bronson, CADC II?

Georgia M Bronson, CADC II is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in OR under license number 96-04-08.

Where does Georgia M Bronson, CADC II practice?

The practice location is 4211 W 11TH Ave, Eugene, OR 97402-5435. The office can be reached at 541-485-1577 (phone) or 541-242-2853 (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 1275188328 directly on the NPPES registry website.

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