Organization
LANE COUNTY OREGON
Active
Other names
Human Services Division
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LYNN PETERSON (CREDENTIALING COORDINATOR)
(541) 682-7987
Entity
Organization
Contact information
Practice address
151 W 7TH AVE STE 560, EUGENE, OR 97401-1100
(541) 682-3378
(541) 682-9804
Mailing address
151 W 7TH AVE STE 560, EUGENE, OR 97401-1100
(541) 682-3378
(541) 682-9804
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500846176
—
OR
Enumeration date
05/19/2006
Last updated
11/25/2024
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