Individual provider · Type 1 NPI

Aj Oliver Tedtaotao

Mental Health Counselor · Springfield, OR

NPI number 1336871359 Active

Practice location

3995 Marcola Rd
Springfield, OR 97477-7948

Call (541) 726-1465 Map

Fax (541) 726-5085

Other practice locations

  • 78 Centennial Loop Ste A, Eugene, OR 97401-7900 · (541) 393-0777
  • 2149 Centennial Plz Ste 4, Eugene, OR 97401-2456 · (541) 741-7107

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed

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About NPI 1336871359

Aj Oliver Tedtaotao's National Provider Identifier is 1336871359, issued on Jun 28, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Springfield, OR. The record was last updated on Oct 6, 2026.