MR. FORREST BEESLEY (NPI# 1255883047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255883047 |
Entity Type | Individual |
Full Name | MR. FORREST BEESLEY |
Credential | CADC I |
Practice Address |
3091 Portland St Eugene OR 97405-3394 |
Practice Telephone | 5412845645 |
Practice Fax Number | 5416839061 |
Mailing Telephone | 5412845645 |
Mailing Fax Number | 5416839061 |
Enumeration Date | 2016-10-27 |
Last Update Date | 2016-10-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
16-05-13U | OR | Behavioral Health & Social Service Providers |
Street Address |
3091 PORTLAND ST |
City | EUGENE |
State | OR |
Zip Code | 97405-3394 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356985337 | Elizabeth Reed | Doula | 28192 Briggs Hill Rd, ., Eugene, OR 97405 | 2019-11-01 |
1235625450 | Kim Lynette Lesh | Counselor | 2434 Jacobs Lane, Eugene, OR 97405 | 2018-07-11 |
1841711884 | Mary Fiedler | Massage Therapist | 1924 Jackson Street, Eugene, OR 97405 | 2017-06-29 |
1235672478 | Icco LLC | Clinic/Center | 2710 Willamette Street, Eugene, OR 97405 | 2016-11-21 |
1033566633 | Andrea Armstrong | Counselor | 3575 Donald St Ste 130, Eugene, OR 97405 | 2016-05-24 |
1801265061 | Alani Stuart | Counselor | 3411-a Willamette Street, Eugene, OR 97405 | 2015-09-17 |
1992174155 | Lorena Cortes Cervantes | Counselor | 3411-a Willamette Street, Eugene, OR 97405 | 2015-09-17 |
1346626926 | Susan White | Speech-Language Pathologist | 3500 Hilyard St., Eugene, OR 97405 | 2015-08-05 |
1366826042 | Sherion Fulton | Counselor | 2852 Willamette #278, Eugene, OR 97405 | 2015-07-13 |
1336532860 | Heather Brooks Morse | Psychologist | 2228 West 25th Place, Eugene, OR 97405 | 2015-03-09 |
Find all providers in zip 97405 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427619659 | Erika Casey | Counselor | 1572 Mckinley Ct, Eugene, OR 97402-3440 | 2019-06-27 |
1346760345 | Elicea Manners | Counselor | 78a Centennial Loop, Eugene, OR 97401 | 2017-06-21 |
1306386438 | Shelby Afton Marie Slay | Counselor | 1246 River Rd, Eugene, OR 97404-2633 | 2017-03-08 |
1629515408 | Laura Willow | Counselor | 2162 Riverview St, Eugene, OR 97403-2238 | 2017-01-31 |
1699217471 | Leslie Ann Bletscher | Counselor | 900 River Loop 1, Eugene, OR 97404-1494 | 2016-11-10 |
1467904045 | Linda Vik | Counselor | 304 Dartmoor Dr, Eugene, OR 97401-5728 | 2016-10-28 |
1992257844 | Molly Kate Gelinas | Counselor | 77 Stults Ave, Eugene, OR 97404-3269 | 2016-10-26 |
1376903120 | Patricia Hummel | Counselor | 616 East 16th Avenue, Eugene, OR 97401 | 2016-03-07 |
1497113765 | Nathan Mart | Counselor | 4211 W 11th Ave, Eugene, OR 97402-5435 | 2016-02-02 |
1912390378 | John Mason | Counselor | 675 Hughes St, Eugene, OR 97402-2114 | 2015-03-10 |
Find all providers in EUGENE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.