Warren, Carol Elizabeth

Warren, Carol Elizabeth is an sole proprietor health care provider with primary practice located at 10 Shelton Mcmurphey Blvd , 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 / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Warren, Carol Elizabeth can be contacted via phone (206) 276-0883.

Contact Information

Primary practice address
10 Shelton Mcmurphey Blvd Eugene OR 97401
Phone: (206) 276-0883
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X T-19-001 Oregon
Behavioral Health & Social Service Providers / Professional 101YP2500X RC00052955 Washington

Profile Details

NPI number 1255494126
LBN Legal business name Warren, Carol Elizabeth
Credentials MSW, CMHS, MHP, RC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2006
Last updated Mar 27th, 2019 - 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 1255494126 NPPES
Oregon MEDICAID 500757201

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