FAVOURE MILLER (NPI# 1619367984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619367984 |
| Entity Type | Individual |
| Full Name | FAVOURE MILLER |
| Practice Address |
1790 W 11th Ave Ste 200 Eugene OR 97402-3871 |
| Mailing Address |
715 Sw Ramsey Avenue Grants Pass OR 97527 |
| Practice Telephone | 4168626885 |
| Mailing Telephone | 5419564943 |
| Mailing Fax Number | 5419565463 |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2019-09-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 348 Ruby Ave, Eugene, OR 974042033 | 5414613075 | 5414611361 |
| Street Address |
1790 W 11TH AVE STE 200 |
| City | EUGENE |
| State | OR |
| Zip Code | 97402-3871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265725956 | Adriel Vasquez | Marriage & Family Therapist | 1790 W 11th Ave Ste 200, Eugene, OR 97402-3871 | 2011-05-27 |
| 1811594872 | Pedro Pacheco | Counselor | 1790 W 11th Ave Ste 200, Eugene, OR 97402-3871 | 2020-10-02 |
| 1659998755 | Jennifer Rose Getty | Counselor | 1790 W 11th Ave Ste 200, Eugene, OR 97402-3871 | 2020-07-06 |
| 1578199097 | Adam Todd | Social Worker | 1790 W 11th Ave Ste 200, Eugene, OR 97402-3871 | 2020-03-16 |
| 1497393425 | Bradley Paul Roan Eagle | Social Worker | 1790 W 11th Ave Ste 200, Eugene, OR 97402-3871 | 2019-12-20 |
| 1720626443 | Alexandra Staunton Zinke | Counselor | 1790 W 11th Ave Ste 200, Eugene, OR 97402-3871 | 2019-12-12 |
| 1801433792 | Sanyelle Wilson | Social Worker | 1790 W 11th Ave Ste 200, Eugene, OR 97402-3871 | 2019-12-10 |
| 1215574371 | Summer Denney | Social Worker | 1790 W 11th Ave Ste 200, Eugene, OR 97402-3871 | 2019-12-06 |
| 1609412139 | Sarah Duffey | Social Worker | 1790 W 11th Ave Ste 200, Eugene, OR 97402-3871 | 2019-11-19 |
| 1639713241 | Mirjum Kareene Woods | Social Worker | 1790 W 11th Ave Ste 200, Eugene, OR 97402-3871 | 2019-11-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709704 | Jordan Charles Smith | Massage Therapist | 775 Menroe St., Eugene, OR 97402 | 2020-01-15 |
| 1104462134 | Cerridwen Laurel Martin | Massage Therapist | 775 Monroe St., Eugene, OR 97402 | 2019-11-25 |
| 1720556368 | Valerie Jeanne Charles | Massage Therapist | 989 Throne Dr., Eugene, OR 97402 | 2018-11-12 |
| 1407324189 | Laura Angulo | Massage Therapist | 1247 W 8th Ave Apt 10, Eugene, OR 97402 | 2018-11-11 |
| 1932687472 | Karl Alan Porter | Counselor | 1195 City View St Ste B, Eugene, OR 97402 | 2018-08-06 |
| 1992283170 | Fresenius Medical Care Dialysis Services - Oregon, LLC | Clinic/Center | 3747 W 11th Ave, Eugene, OR 97402 | 2018-07-31 |
| 1699251744 | Isabella Arlo Jane Silver | Counselor | 970 W 7th Ave., Eugene, OR 97402 | 2018-07-12 |
| 1447740527 | Shasta Tobi Cooke | Behavioral Analyst | 677 1/2 W 12th Ave, Eugene, OR 97402 | 2018-05-15 |
| 1497205306 | Jenna Bracco | Social Worker | 1274 W. 7th Avenue Suite 201, Eugene, OR 97402 | 2016-10-04 |
| 1871041392 | Jeremy Powers | Massage Therapist | 882 Van Buren St, Eugene, OR 97402 | 2016-09-13 |
| Find all providers in zip 97402 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841810322 | Ariana Lee May | Peer Specialist | 1601 Olive St Apt 1008, Eugene, OR 97401-3985 | 2020-04-24 |
| 1053879361 | Carol Jeanne Hansen | Peer Specialist | 72a Centennial Loop Ste 150, Eugene, OR 97401-2447 | 2019-03-05 |
| 1558844324 | Roman Bezvikonnyi | Peer Specialist | 3086 Memory Ln, Eugene, OR 97404-1838 | 2018-09-07 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1497296222 | Maria Regina Sison-valenti | Peer Specialist | 72a Centennial Loop, Suite 150, Eugene, OR 97401-2444 | 2017-03-13 |
| 1700335858 | Christina Gail Kazlas | Peer Specialist | 111 N Garfield St, Eugene, OR 97402-2619 | 2016-09-30 |
| 1316396187 | Matthew Allen Harlan | Peer Specialist | 4300 Goodpasture Loop, Apt.# 11, Eugene, OR 97401-1458 | 2016-06-12 |
| 1265888127 | Chenoa Bostick | Peer Specialist | 2525 Portland St, Eugene, OR 97405-3153 | 2016-05-10 |
| 1770980906 | Paul Revis | Peer Specialist | 2525 Portland St Apt 19, Eugene, OR 97405-3107 | 2014-12-03 |
| 1568607935 | Randy Jay Gudeika | Peer Specialist | 2145 Centennial Plaza, Laurel Hill Center, Eugene, OR 97401-2421 | 2008-12-12 |
| 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.