Individual
CRAIG WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHA-I
Contact information
Practice address
2411 MARTIN LUTHER KING JR BLVD, EUGENE, OR 97401-5824
(541) 682-3550
Mailing address
2073 OLYMPIC ST, SPRINGFIELD, OR 97477-3413
(541) 682-3550
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
21-QMHA-I-003238
OR
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/08/2022
Last updated
05/15/2022
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