Individual provider · Type 1 NPI

Heather Surgeon

Addiction (Substance Use Disorder) Counselor · Roseburg, OR

NPI number 1619493293 Active

Practice location

621 W Madrone St
Roseburg, OR 97470-3090

Fax (541) 492-0190

Mailing address

PO Box 1121
Roseburg, OR 97470-0254

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1619493293

Heather Surgeon's National Provider Identifier is 1619493293, issued on Aug 16, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Roseburg, OR. The record was last updated on Jun 11, 2026.