MR. WILLIAM C. POULTER


Address: 548 Sw Jackson St, Roseburg, OR 97470-2709
Phone: 5416722691

MR. WILLIAM C. POULTER (NPI# 1528426517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528426517
Entity Type Individual
Full Name MR. WILLIAM C. POULTER
Credential CADC II-ACCBO (OREGO
Practice Address 548 Sw Jackson St
Roseburg
OR 97470-2709
Mailing Address Po Box 1121
Roseburg
OR 97470-0254
Practice Telephone 5416722691
Practice Fax Number 5416735642
Mailing Telephone 5416722691
Mailing Fax Number 5416735642
Enumeration Date 2016-02-04
Last Update Date 2016-02-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
96-04-122 OR Behavioral Health & Social Service Providers

Other Providers WILLIAM POULTER

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1932360690 William Craig Poulter Optometrist 7555 Center View Ct, Suite 101, West Jordan, UT 84084-1970 2008-06-24
1972618833 William Douglas Poulter Pharmacist 215 N Main St, White River Junction, VT 05009-0001 2006-08-20

Office Location

Street Address 548 SW JACKSON ST
City ROSEBURG
State OR
Zip Code 97470-2709

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326547134 Thoughtwork, LLC Social Worker 178 Nw Garden Valley Blvd, Roseburg, OR 97470 2018-02-07
1063932960 Go Mo, LLC Durable Medical Equipment & Medical Supplies 627 Se Jackson St, Roseburg, OR 97470 2017-06-21
1497123335 Brandi N Hamilton Counselor 215 S.e. Jackson, Roseburg, OR 97470 2015-09-09
1285031203 Aric Fromdahl Counselor 215 Se Jackson, Roseburg, OR 97470 2014-11-20
1801292438 Robin Knebel Counselor 215 Se Jackson St., Roseburg, OR 97470 2014-11-10
1700282415 Samantha Marie Shelley Counselor 215 Se Jackson Street, Roseburg, OR 97470 2014-11-06
1043610660 Cynthia Simmons Counselor 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 2014-09-02
1083025431 Toni Damewood Msn Pmhnp-bc Nurse Practitioner 770 Se Kane Street, Roseburg, OR 97470 2014-05-19
1801226196 Denise Ingeman Registered Nurse 1548 South East Pine Street, Roseburg, OR 97470 2013-11-22
1356606909 Carla Junette Rambel Massage Therapist 566 S.e. Jackson, Roseburg, OR 97470 2012-07-10
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710330386 Serenity Lane Counselor 2575 Nw Kline St, Roseburg, OR 97471-8827 2016-07-19
1306205984 Susan Anne Dowell Counselor 548 Se Jackson Street, Roseburg, OR 97470-0254 2016-02-11
1508295668 Adapt Counselor 1215 Se Court Ave, Roseburg, OR 97470-4329 2013-11-08
1174952238 Adapt Counselor 550 Se Jackson St, Roseburg, OR 97470-4923 2013-11-08
1639508708 Adapt Counselor 1036 Se Douglas Ave, Roseburg, OR 97470-3301 2013-11-08
1245597582 Alison Marie Hinson Counselor 850 Se Rose St, Roseburg, OR 97470-3942 2012-04-11
1114112133 Delila S Donaldson Counselor 727 Se Cass Ave Ste 223, Roseburg, OR 97470-4953 2007-09-12
1639256431 Linda Witbeck Counselor 913 Garden Valley Blvd, Bldg 2, Ward 2, Sartp, Roseburg, OR 97470 2006-11-01
1750373346 Adapt Counselor 548 Se Jackson St, Roseburg, OR 97470-4983 2005-08-18
1861092645 Joseph T Mitchell Counselor 3099 Ne Diamond Lake Blvd, Roseburg, OR 97470-3655 2020-10-29
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Competitor

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City ROSEBURG
Zip Code 97470

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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