MS. DAWN GANDALF (NPI# 1982887782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982887782 |
| Entity Type | Individual |
| Full Name | MS. DAWN GANDALF |
| Credential | C.A.D.C. III |
| Practice Address |
1755 Coburg Rd Bldg.4 Suite 2 Eugene OR 97401-4982 |
| Practice Telephone | 5416843988 |
| Practice Fax Number | 5416862279 |
| Mailing Telephone | 5416843988 |
| Mailing Fax Number | 5416862279 |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2007-12-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
04-R-07 | OR | Behavioral Health & Social Service Providers |
| Street Address |
1755 COBURG RD BLDG.4 SUITE 2 |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-4982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801857792 | Sarah Evelyn Aitken | Nurse Practitioner | 1755 Coburg Rd, Suite #5, Eugene, OR 97401-4982 | 2006-03-30 |
| 1619345501 | Reese Family Practice PC | Specialist | 1755 Coburg Rd, Bldg 6b, Eugene, OR 97401-4982 | 2015-09-09 |
| 1134523178 | Chad Ravert | Massage Therapist | 1755 Coburg Rd, Eugene, OR 97401-4982 | 2014-10-20 |
| 1932461688 | Women's Health and Wellness, LLC | Clinic/Center | 1755 Coburg Rd, Bldg 1, Suite 2, Eugene, OR 97401-4982 | 2012-06-08 |
| 1013288372 | Hee Joon Yang | Massage Therapist | 1755 Coburg Rd, Eugene, OR 97401-4982 | 2012-01-19 |
| 1316217730 | Tamra Johns | Dental Hygienist | 1755 Coburg Rd, Eugene, OR 97401-4982 | 2012-01-02 |
| 1679858468 | Adrienne Elise Stewart | Dental Hygienist | 1755 Coburg Rd, Eugene, OR 97401-4982 | 2011-10-12 |
| 1083901243 | Absolute Health Inc | Dental Hygienist | 1755 Coburg Rd, Eugene, OR 97401 | 2011-07-07 |
| 1588802938 | Yayoe Gail Kuramitsu | Social Worker | 1755 Coburg Rd, Building 4 Suite 2, Eugene, OR 97401-4982 | 2009-01-22 |
| 1174770358 | Isaiah Loftin | Massage Therapist | 1755 Coburg Rd, Bldg 4, Suite 2, Eugene, OR 97401-4982 | 2008-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427619659 | Erika Casey | Counselor | 1572 Mckinley Ct, Eugene, OR 97402-3440 | 2019-06-27 |
| 1346760345 | Elicea Manners | Counselor | 78a Centennial Loop, Eugene, OR 97401 | 2017-06-21 |
| 1306386438 | Shelby Afton Marie Slay | Counselor | 1246 River Rd, Eugene, OR 97404-2633 | 2017-03-08 |
| 1629515408 | Laura Willow | Counselor | 2162 Riverview St, Eugene, OR 97403-2238 | 2017-01-31 |
| 1699217471 | Leslie Ann Bletscher | Counselor | 900 River Loop 1, Eugene, OR 97404-1494 | 2016-11-10 |
| 1467904045 | Linda Vik | Counselor | 304 Dartmoor Dr, Eugene, OR 97401-5728 | 2016-10-28 |
| 1255883047 | Forrest Beesley | Counselor | 3091 Portland St, Eugene, OR 97405-3394 | 2016-10-27 |
| 1992257844 | Molly Kate Gelinas | Counselor | 77 Stults Ave, Eugene, OR 97404-3269 | 2016-10-26 |
| 1376903120 | Patricia Hummel | Counselor | 616 East 16th Avenue, Eugene, OR 97401 | 2016-03-07 |
| 1497113765 | Nathan Mart | Counselor | 4211 W 11th Ave, Eugene, OR 97402-5435 | 2016-02-02 |
| Find all providers in EUGENE | ||||
Please comment or provide details below to improve the information on MS. DAWN GANDALF.
| 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.