Individual provider · Type 1 NPI

Autumn Starr Russell, CADC II, QMHA I

Addiction (Substance Use Disorder) Counselor · Eugene, OR

NPI number 1245698943 Active

Practice location

4211 W 11th Ave
Eugene, OR 97402-5435

Call (541) 687-1110 Map

Mailing address

PO Box 8549
Coburg, OR 97408-1313

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X14-12-25 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1245698943

Autumn Starr Russell, CADC II, QMHA I's National Provider Identifier is 1245698943, issued on Feb 9, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Eugene, OR. The record was last updated on Apr 21, 2026.