Individual provider Active NPI

Bryan B Nilsen, PHD

  • Marriage & Family Therapist
  • Eugene, OR
National Provider Identifier
1770662736
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T0347 Issued in OR
Practice address
3285 Willakenzie Rd
Eugene, OR 97401-7090
Phone
(541) 344-1810
Fax
(541) 984-4039
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X T0347 OR Primary

Addresses

Primary practice location

3285 Willakenzie Rd
Eugene, OR 97401-7090

Mailing address

770 E 11TH Ave
Eugene, OR 97401-3746
Phone (458) 205-7022

Other practice location 1

1660 Delaware St
Longview, WA 98632-2310
Phone (360) 414-2800

Other practice location 2

770 E 11th Ave
Eugene, OR 97401-3746
Phone (458) 205-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260402003166 OR Practitioner - Marriage and Family Therapist 1254816622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1115 SE 164TH Ave Dept
Suite 358
Vancouver, WA 98683-8004

770 E 11 Ave
Eugene, OR 97401-3746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
T0347ORMDMarriage & Family Therapist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1770662736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 E 11TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013746",
            "telephone_number": "458-205-7022",
            "fax_number": "458-205-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3285 WILLAKENZIE RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017090",
            "telephone_number": "541-344-1810",
            "fax_number": "541-984-4039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1660 Delaware St",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986322310",
            "country_code": "US",
            "telephone_number": "360-414-2800",
            "fax_number": "360-414-2803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "770 E 11th Ave",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974013746",
            "country_code": "US",
            "telephone_number": "458-205-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NILSEN",
        "first_name": "BRYAN",
        "middle_name": "B",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T0347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.