Spring, Lisa M

Spring, Lisa M is an individual health care provider with primary practice located at 149 W. 12Th Avenue , Eugene OR 97401. She 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 / Addiction (Substance Use Disorder) is her primary health care specialty. Spring, Lisa M can be contacted via phone (541) 762-4414.

Contact Information

Primary practice address
149 W. 12Th Avenue Eugene OR 97401
Phone: (541) 762-4414
Fax: (541) 344-0772
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 12-06-80 Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 20-QMHA-I-02890 Oregon

Profile Details

NPI number 1528106531
LBN Legal business name Spring, Lisa M
Credentials CADC II, QMHA-1
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Sep 30th, 2020 - about 5 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 1528106531 NPPES
Oregon MEDICAID 50070768

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