Adair, Emmitt

Adair, Emmitt is an individual health care provider with primary practice located at 2650 Suzanne Way Ste 120 , Eugene OR 97408-7619. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Adair, Emmitt can be contacted via phone (541) 345-2800.

Contact Information

Primary practice address
2650 Suzanne Way Ste 120 Eugene OR 97408-7619
Phone: (541) 345-2800
Fax: (541) 345-4419
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1033776190
LBN Legal business name Adair, Emmitt
Credentials QMHP, CADC, SAP
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2019
Last updated Sep 20th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033776190 NPPES
Oregon MEDICAID 500763389
Oregon MEDICAID 500763640

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