Organization
REVEILLE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN DOUGLAS YAMAMORI MED, QMHA-R (PRESIDENT/CEO)
(602) 369-3531
Entity
Organization
Contact information
Practice address
680 TYLER ST, EUGENE, OR 97402-4530
(541) 603-0276
Mailing address
1711 WILLAMETTE STREET, SUITE 301, #779, EUGENE, OR 97401-1914
(602) 369-3531
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
10/28/2021
Last updated
07/03/2025
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