Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ERNST UDEY SHADBOLT, CADC I
Active Sole ProprietorERNST UDEY SHADBOLT, CADC I is a Addiction (Substance Use Disorder) Counselor healthcare provider located in ROSEBURG, Oregon. NPI 1639536691 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · ROSEBURG, OR
Registration Details
- NPI Number
- 1639536691
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 21, 2016 (10.583507582473 yrs)
- Last Updated
- Jan 21, 2016
- License
-
08-03-32 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2064 SE DOUGLAS AVEROSEBURG, OR, 974703713Browse OR providers · Browse ZIP 97470
- Phone
- 5416735119
- Fax
- 5419573734
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in ROSEBURG, OR
| Name | Credential | NPI |
|---|---|---|
| SUSAN OBRIEN-MALEN | MS | 1952416976 |
| LINDA WITBECK | — | 1639256431 |
| MR. VANCE KENT MORRIS | — | 1558448308 |
| MS. CHRISTINE GEORGE MELVIN | — | 1558530915 |
| DONALD DALE GILBERT | CADC I | 1598923252 |
| MAXINE MARIE ROXANNA HOWELL | PSS | 1669744058 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.