NPI: 1295389302
Provider Name: INSIGHT NORTHWEST BEHAVIORAL SERVICES, LLC
Doing Business As: INSIGHT NORTHWEST BEHAVIORAL SERVICES, LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization
Specialization: Psychiatric/Mental Health
CLIA Number: 38D2289955
Address:
132 E BROADWAY STE 730
EUGENE, OR
ZIP 97401
Phone: (541) 357-9433
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INSIGHT NORTHWEST BEHAVIORAL SERVICES, LLC is a psychiatric/mental health nurse practitioner in Eugene, OR. INSIGHT NORTHWEST BEHAVIORAL SERVICES, LLC NPI is 1295389302. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Insight Northwest Behavioral Services, Llc.
The provider's business location address is:
132 E BROADWAY STE 730
EUGENE, OR
ZIP 97401-160
Phone: (541) 357-9433
The provider's authorized official is Joshua Gotlib .
The authorized official title is Founder & Mental Health Therapist and has the following contact phone number (541) 357-9433.
The CLIA number assigned to this NPI record is 38D2289955 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/26/2019 and was last updated on 9/15/2021.