Provider Demographics
NPI:1376181982
Name:RAUSCHENBUSCH-ROWAN, QUENTIN
Entity Type:Individual
Prefix:MR
First Name:QUENTIN
Middle Name:
Last Name:RAUSCHENBUSCH-ROWAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2295 COBURG RD STE 200
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-7489
Mailing Address - Country:US
Mailing Address - Phone:541-600-2300
Mailing Address - Fax:
Practice Address - Street 1:2295 COBURG RD STE 200
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-7489
Practice Address - Country:US
Practice Address - Phone:541-600-2300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-13
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORT-19-370101YA0400X
101YM0800X
ORR8733101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health