| Griffin & Associated Practitioners | |
|
66 Club Rd Ste 350 Eugene OR 97401-2463 | |
| (541) 343-1728 | |
| (541) 485-0052 |
| Full Name | Griffin & Associated Practitioners |
|---|---|
| Speciality | Counselor |
| Location | 66 Club Rd Ste 350, Eugene, Oregon |
| Authorized Official Name and Position | Lisa Griffin (OWNER) |
| Authorized Official Contact | 5416540533 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Griffin & Associated Practitioners 66 Club Rd Ste 350 Eugene OR 97401-2463 Ph: (541) 343-1728 | Griffin & Associated Practitioners 66 Club Rd Ste 350 Eugene OR 97401-2463 Ph: (541) 343-1728 |
| NPI Number | 1336678952 |
|---|---|
| Provider Enumeration Date | 06/07/2017 |
| Last Update Date | 07/25/2024 |
| Certification Date | 07/25/2024 |
| Medicare PECOS PAC ID | 7214263755 |
|---|---|
| Medicare Enrollment ID | O20190722003139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336678952 | NPI | - | NPPES |
| Provider Name | Carmen M Kendall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649583147 PECOS PAC ID: 7911333869 Enrollment ID: I20200212001939 |
| Provider Name | Kristine J Rodrigues |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245654763 PECOS PAC ID: 7315332087 Enrollment ID: I20220315002362 |
| Provider Name | Naomi C Tuman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205443199 PECOS PAC ID: 9739597691 Enrollment ID: I20220328002005 |
| Provider Name | Ashley Lynne Boonenberg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891960142 PECOS PAC ID: 4981047032 Enrollment ID: I20240206003345 |
| Provider Name | Lisa Jean Griffin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053631077 PECOS PAC ID: 3072843879 Enrollment ID: I20240207002225 |
| Provider Name | Pauline Odofole Botchway |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861847907 PECOS PAC ID: 0345683702 Enrollment ID: I20240213002404 |
| Provider Name | Kyle Burton Brown |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1043871551 PECOS PAC ID: 8921442450 Enrollment ID: I20240222003472 |
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