Organization
OSLC COMMUNITY PROGRAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER GREG SPRENGELMEYER PHD (EXECUTIVE DIRECTOR)
(541) 743-4340
Entity
Organization
Contact information
Practice address
1170 PEARL ST, EUGENE, OR 97401-3541
(541) 743-4340
(541) 743-4369
Mailing address
1170 PEARL ST, EUGENE, OR 97401-3541
(541) 743-4340
(541) 743-4369
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288554
—
OR
Enumeration date
08/12/2006
Last updated
10/20/2014
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