Provider Demographics
NPI:1326366857
Name:WEST, HALEY (LAC)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:WEST
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:853 S 43RD ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97478-7521
Mailing Address - Country:US
Mailing Address - Phone:541-852-9080
Mailing Address - Fax:
Practice Address - Street 1:1314 DALTON DR
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97404-2808
Practice Address - Country:US
Practice Address - Phone:707-267-4496
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-07
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
ORAC190536171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor