Frederick Dygert, Lcsw
Social Worker, Clinical in Eugene, OR. Organization (NPI-2).
NPI number1164021044
StatusActive
Last updated in NPPESOct 21, 2020
Details
- NPI
- 1164021044
- Entity type
- Organization (NPI-2)
- Legal business name
- Frederick Dygert, Lcsw
- Organization subpart
- No
- Enumeration date
- Oct 21, 2020
- Certification date
- Oct 21, 2020
- Last updated
- Oct 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
1445 Willamette St Ste 2bEugene, OR 97401-4087
Phone 541-520-1679
Mailing address
1430 Willamette St # 608Eugene, OR 97401-4049
Phone 541-520-1679
Authorized official
Frederick Dygert
Owner
5415201679
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