Individual
EDITH BAUMGART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
687 CHESHIRE AVE, EUGENE, OR 97402-5060
(541) 343-2993
Mailing address
687 CHESHIRE AVE, EUGENE, OR 97402-5060
(541) 343-2993
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
02-11-111
OR
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
A12216
OR
Other
Enumeration date
12/22/2011
Last updated
09/09/2021
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