Individual
MICHAEL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
341 E 12TH AVE, EUGENE, OR 97401-3275
(541) 342-8255
Mailing address
341 E 12TH AVE, EUGENE, OR 97401-3275
(541) 342-8255
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OR
175T00000X
Peer Specialist
—
—
Other
Enumeration date
03/22/2022
Last updated
12/08/2022
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