Spectrum Powered, LLC
Organization Active NPI Community/Behavioral Health Agency · Eurgene, OR
NPI 1073244174 · NPPES record last updated Jun 20, 2022
Key facts
- NPI
- 1073244174
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- SPECTRUM POWERED, LLC
- Practice address
- 1135 Hyde Park Place
Eurgene, OR 97401 - Phone
- (805) 874-2142
- NPI assigned
- Jun 20, 2022
- Organization subpart
- No
Authorized official
- Name
- Danielle Nicole Wiemholt, BOBA
- Title
- Owner
- Phone
- (805) 874-2142
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | |||
| Behavior Technician |
106S00000X | |||
| Recreation Therapist |
225800000X | |||
| Community/Behavioral Health Agency | 251S00000X | Yes | ||
| Early Intervention Provider Agency | 252Y00000X |
Addresses
Primary practice location
1135 Hyde Park Place
Eurgene, OR 97401
Mailing address
1135 Hyde Park Place
Eurgene, OR 97401
Phone (805) 874-2142
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.