Organization
SPECTRUM POWERED, LLC
Active
Organization
SPECTRUM POWERED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE NICOLE WIEMHOLT BOBA (OWNER)
(805) 874-2142
Entity
Organization
Contact information
Practice address
1135 HYDE PARK PLACE, EURGENE, OR 97401
(805) 874-2142
Mailing address
1135 HYDE PARK PLACE, EURGENE, OR 97401
(805) 874-2142
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
225800000X
Recreation Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up