Individual provider · Type 1 NPI

Shane Douglas Roush

Addiction (Substance Use Disorder) Counselor · Eugene, OR

NPI number 1295593937 Active

Practice location

195 W 12th Ave
Eugene, OR 97401-3408

Call (541) 762-4300 Map

Mailing address

687 Cheshire Ave
Eugene, OR 97402-5060

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-22-1832 (OR)

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

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About NPI 1295593937

Shane Douglas Roush's National Provider Identifier is 1295593937, issued on Mar 7, 2024. 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 Mar 7, 2024.