Individual provider · Type 1 NPI

Micah Dominic Eckburg I, PSS

Peer Specialist · Eugene, OR

NPI number 1982444824 Active

Practice location

715 Lincoln St
Eugene, OR 97401-2502

Call (541) 344-3574 Map

Fax (541) 344-5652

Mailing address

82272 River Dr
Creswell, OR 97426-9861

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X111140 (OR)
Addiction (Substance Use Disorder) Counselor 101YA0400X111140 (OR)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1982444824

Micah Dominic Eckburg I, PSS's National Provider Identifier is 1982444824, issued on May 29, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Eugene, OR. The record was last updated on Feb 18, 2026.