ROBERT J BUSTAMANTE (NPI# 1952812869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952812869 |
| Entity Type | Individual |
| Full Name | ROBERT J BUSTAMANTE |
| Practice Address |
770 E 11th Ave Eugene OR 97401-3746 |
| Mailing Address |
1115 Se 164th Ave Dept 358 Vancouver WA 98683-8004 |
| Practice Telephone | 5412286425 |
| Practice Fax Number | 5413381652 |
| Mailing Telephone | 3607291459 |
| Mailing Fax Number | 3607293066 |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2017-11-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
770 E 11TH AVE |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-3746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649672882 | Erica Rose Yolanda Sprado | Counselor | 770 E 11th Ave, Eugene, OR 97401-3746 | 2014-09-18 |
| 1093349508 | Tanya Katz | Social Worker | 770 E 11th Ave, Eugene, OR 97401-3746 | 2020-02-24 |
| 1710444013 | Kristen Pfeiffer | Counselor | 770 E 11th Ave, Eugene, OR 97401-3746 | 2019-02-23 |
| 1831557628 | Kyle Hunter | Counselor | 770 E 11th Ave, Eugene, OR 97401-3746 | 2016-02-08 |
| 1285005322 | Andrea Hansen-miller | Counselor | 770 E 11th Ave, Eugene, OR 97401-3746 | 2015-10-15 |
| 1801282405 | Patricia Margaret Donahue | Counselor | 770 E 11th Ave, Eugene, OR 97401-3746 | 2015-04-09 |
| 1376934885 | Agnieszka Stybaniewicz | Counselor | 770 E 11th Ave, Ssb- 1st Floor, Eugene, OR 97401-3746 | 2015-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| 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.