Basic Information
Provider Information
NPI: 1427681709
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VOIGT
FirstName: SARAH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 78A CENTENNIAL LOOP
Address2:  
City: EUGENE
State: OR
PostalCode: 974017909
CountryCode: US
TelephoneNumber: 5413930777
FaxNumber:  
Practice Location
Address1: 2149 CENTENNIAL PLAZA SUITE #4
Address2:  
City: EUGENE
State: OR
PostalCode: 97401
CountryCode: US
TelephoneNumber: 5413026058
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/14/2020
LastUpdateDate: 06/17/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/17/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X  Y Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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