Active NPIIndividual providerSole proprietor

Alicia M Bettenburg, BA

Counselor, Mental Health in Eugene, Oregon

NPI Number1295879880
Practice location
1790 W 11TH Ave, Suite 290, Eugene, OR 97402-3758
Fax
541-686-0359
Last updated
July 8, 2007

Alicia M Bettenburg, BA is a Counselor, Mental Health based in Eugene, OR. Alicia M Bettenburg, BA holds the professional credentials of BA. The NPI number for Alicia M Bettenburg, BA is 1295879880. The current practice location address is 1790 W 11TH Ave, Suite 290, Eugene, OR 97402-3758 and the office can be reached by phone at 541-686-1262 and by fax at 541-686-0359. The NPI was assigned on February 16, 2007 and the record was last updated in NPPES on July 8, 2007.

●Provider Profile Details

NPI Number
1295879880
Provider Name
Alicia Marie Bettenburg
Credential
BA
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Enumeration Date
February 16, 2007
Last Update Date
July 8, 2007
NPI Status
Active

◉Business Practice Location Address

Address
1790 W 11TH Ave
Suite 290
Eugene, OR 97402-3758
City
Eugene
State
Oregon
ZIP
97402-3758
Country
US
Phone Number
541-686-1262
Fax Number
541-686-0359

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✉Business Mailing Address

Address
2113 Riverview St
Eugene, OR 97403-3210
City
Eugene
State
OR
ZIP
97403-3210
Phone Number
541-326-2433

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Counselor, Mental Health101YM0800XYes——

#Other Provider Identifiers

No legacy or other 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 Alicia M Bettenburg, BA?

The NPI number of Alicia M Bettenburg, BA is 1295879880. It was assigned on February 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Alicia M Bettenburg, BA?

Alicia M Bettenburg, BA is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Alicia M Bettenburg, BA practice?

The practice location is 1790 W 11TH Ave, Suite 290, Eugene, OR 97402-3758. The office can be reached at 541-686-1262 (phone) or 541-686-0359 (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 1295879880 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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