Provider Demographics
NPI:1760558910
Name:PIEHLER, TIMOTHY FARR
Entity Type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:FARR
Last Name:PIEHLER
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 1:2435 NIXON ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97403
Mailing Address - Country:US
Mailing Address - Phone:541-683-7281
Mailing Address - Fax:
Practice Address - Street 1:576 OLIVE STREET
Practice Address - Street 2:DIRECTION SERVICE COUNSELING CENTER SUITE 307
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401
Practice Address - Country:US
Practice Address - Phone:541-344-7303
Practice Address - Fax:541-686-6283
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR037759Medicaid