- Practice location
- 66 Club RD Ste 350, Eugene, OR 97401-2599
- Phone
- 541-343-1728
- Fax
- —
- Last updated
- September 30, 2022
Pauline Odofole Botchway is a Counselor, Professional based in Eugene, OR. Pauline Odofole Botchway practices in Eugene, OR and has the professional credentials of LPC, NCC. The NPI Number for Pauline Odofole Botchway is 1861847907 and holds a License No. 72440 (TX). The current practice location address for Pauline Odofole Botchway is 66 Club RD Ste 350, Eugene, OR 97401-2599 and can be reached out via phone at 541-343-1728.
Provider Profile Details
- NPI Number
- 1861847907
- Provider Name
- Pauline Odofole Botchway
- Credential
- LPC, NCC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 66 Club RD Ste 350, Eugene, OR 97401-2599
- Phone Number
- 541-343-1728
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 26, 2016
- Last Update Date
- September 30, 2022
- Certification Date
- September 30, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 66 Club RD Ste 350
Eugene, OR 97401-2599 - City
- Eugene
- State
- Oregon
- Zip
- 97401-2599
- Phone Number
- 541-343-1728
Provider Business Mailing Address Details
- Address
- P.o. Box 8549
Coburg, OR 97408 - City
- Coburg
- State
- OR
- Zip
- 97408
- Phone Number
- 541-687-1110
License Information
- License Number (1)
- 72440
- License State (1)
- TX
- Taxonomy (1)
- Counselor · 101Y00000X
- License Number (2)
- C4209
- License State (2)
- OR
- Taxonomy (2)
- Counselor, Mental Health · 101YM0800X
- License Number (3)
- C4209
- License State (3)
- OR
- Taxonomy (3)
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Pauline O Botchway, LPC, NCC?
The NPI number of Pauline O Botchway, LPC, NCC is 1861847907. It was assigned on April 26, 2016 and is currently active in the NPPES registry.
What is the specialty of Pauline O Botchway, LPC, NCC?
Pauline O Botchway, LPC, NCC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in TX under license number 72440.
Where does Pauline O Botchway, LPC, NCC practice?
The practice location is 66 Club RD Ste 350, Eugene, OR 97401-2599. The office can be reached at 541-343-1728 (phone).
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 1861847907 directly on the NPPES registry website.