Provider Demographics
NPI:1659823433
Name:TRAUMA HEALING PROJECT
Entity Type:Organization
Organization Name:TRAUMA HEALING PROJECT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:WALTERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-687-9447
Mailing Address - Street 1:2222 COBURG RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-4966
Mailing Address - Country:US
Mailing Address - Phone:541-687-9447
Mailing Address - Fax:541-687-9446
Practice Address - Street 1:2222 COBURG RD
Practice Address - Street 2:SUITE 200/300
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-4966
Practice Address - Country:US
Practice Address - Phone:541-687-9447
Practice Address - Fax:541-687-9446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-27
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable