person
Shane Douglas Roush
Addiction (Substance Use Disorder) Counselor in Eugene, Oregon
NPI 1295593937

Shane Douglas Roush is an Addiction (Substance Use Disorder) Counselor based in Eugene, OR and is specialized in Addiction (Substance Use Disorder). Shane Douglas Roush practices in Eugene, OR. The NPI Number for Shane Douglas Roush is 1295593937 and holds a License No. T-22-1832 (Oregon).

The current practice location address for Shane Douglas Roush is 195 W 12Th Ave, Eugene, OR and can be reached out via phone at 541-762-4300. You can also correspond with Shane Douglas Roush through the mailing address at 687 CHESHIRE AVE, EUGENE, OR - 97402-5060 (mailing address contact number: ).

Location: 195 W 12Th Ave, Eugene, OR, 97402-5060
person
Provider Profile Details
NPI Number
1295593937
Provider Name
Shane Douglas Roush
Credential
Provider Entity Type
Individual
Gender
Male
Address
195 W 12Th Ave, Eugene, OR, 97402-5060
Phone Number
541-762-4300
Fax Number
Provider Enumeration Date
03/07/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
195 W 12Th Ave
City
State
Zip
97401-3408
Phone Number
541-762-4300
Fax Number
person
Provider Business Mailing Address Details
Address
195 W 12Th Ave
City
State
Zip
97401-3408
Phone Number
541-762-4300
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
T-22-1832 (Oregon)
Definition
Definition to come...
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