Organization
LANE COUNTY TREATMENT CENTER
Active
Other names
Lane County Methadone treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE PETERSON CREDENTIALING COORD. (CREDENTIALING COORDINATOR)
(541) 682-7987
Entity
Organization
Contact information
Practice address
432 W 11TH AVE RM 170, EUGENE, OR 97401-3451
(541) 682-4464
(541) 682-3967
Mailing address
2073 OLYMPIC ST, SPRINGFIELD, OR 97477-3413
(541) 682-4464
(541) 682-3967
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
200141240RN
OR
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
05/22/2015
Last updated
03/27/2024
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