Christopher Bowling
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Coburg, OR
NPI 1114632569 · NPPES record last updated Jan 19, 2023
Key facts
- NPI
- 1114632569
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- T-22-1989 (OR)
- Practice address
- 1 Serenity LN
Coburg, OR 97408-9350 - Phone
- (541) 687-1110
- NPI assigned
- Jan 19, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-22-1989 | OR | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Lane | Current |
Accepting new patients | |
| Serenity Lane | Past |
Accepting new patients |
Locations
1 Serenity Ln
Eugene, OR 97408
Phone (541) 284-5704
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | T-22-1989 | OR | Yes |
Addresses
Primary practice location
1 Serenity LN
Coburg, OR 97408-9350
Mailing address
1 Serenity LN
Coburg, OR 97408-9350
Phone (541) 687-1110
Other providers in Coburg, OR
- Jason Bernal
- Brandy Lynn Blackwell
- Sharon Mary Blanchard
- Kenneth Boggie
- Hannah Boissier
- Mark Brauer
- Sarah Rachel Brown
- Hannah Brumbaugh-Cunningham
- Shaylah Teryn Bryant
- Sarah Elizabeth Buck
All providers in Coburg, OR · Addiction (Substance Use Disorder) Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2023. 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.