Provider Demographics
NPI:1669849048
Name:CREARY, RHOMA HYACINTH
Entity Type:Individual
Prefix:DR
First Name:RHOMA
Middle Name:HYACINTH
Last Name:CREARY
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:RHOMA
Other - Middle Name:HYACINTH
Other - Last Name:FORESHAW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:348 RUBY AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97404-2033
Mailing Address - Country:US
Mailing Address - Phone:541-461-3075
Mailing Address - Fax:541-956-5463
Practice Address - Street 1:348 RUBY AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97404-2033
Practice Address - Country:US
Practice Address - Phone:541-461-3075
Practice Address - Fax:541-956-5463
Is Sole Proprietor?:No
Enumeration Date:2015-09-01
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health