| Shannon Mcgrath, Lcsw, Llc | |
|
541 Willamette St Ste 407a Eugene OR 97401-2696 | |
| (907) 230-6619 | |
| (541) 359-4049 |
| Full Name | Shannon Mcgrath, Lcsw, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 541 Willamette St Ste 407a, Eugene, Oregon |
| Authorized Official Name and Position | Shannon Rachel Mcgrath (OWNER AND PROVIDER) |
| Authorized Official Contact | 9072306619 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Mcgrath, Lcsw, Llc 1303 Betty Ln Eugene OR 97404-2806 Ph: (907) 230-6619 | Shannon Mcgrath, Lcsw, Llc 541 Willamette St Ste 407a Eugene OR 97401-2696 Ph: (907) 230-6619 |
| NPI Number | 1710619994 |
|---|---|
| Provider Enumeration Date | 06/27/2022 |
| Last Update Date | 06/27/2022 |
| Certification Date | 06/27/2022 |
| Medicare PECOS PAC ID | 6800254178 |
|---|---|
| Medicare Enrollment ID | O20230619000055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710619994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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