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Organization
SHELTERCARE
Active
Organization
SHELTERCARE
Active
Other names
Lane ShelterCare
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN ETTER (CONTROLLER)
(541) 686-1262
Entity
Organization
Contact information
Practice address
499 W 4TH AVE, EUGENE, OR 97401-2505
(541) 686-1262
(541) 686-0359
Mailing address
499 W 4TH AVE, EUGENE, OR 97401-2505
(541) 686-1262
(541) 686-0359
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
223701
—
OR
05
—
509352
—
OR
05
—
509446
—
OR
Enumeration date
01/04/2007
Last updated
04/06/2017
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