Provider Demographics
NPI:1942963301
Name:RIAN, ANN HAMILTON (BS, QMHA)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:HAMILTON
Last Name:RIAN
Suffix:
Gender:F
Credentials:BS, QMHA
Other - Prefix:
Other - First Name:ANNIE
Other - Middle Name:HAMILTON
Other - Last Name:RIAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BS, QMHA
Mailing Address - Street 1:2765 POTTER ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-4159
Mailing Address - Country:US
Mailing Address - Phone:615-927-6057
Mailing Address - Fax:
Practice Address - Street 1:150 SHELTON MCMURPHEY BLVD STE 101
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-5015
Practice Address - Country:US
Practice Address - Phone:541-210-8090
Practice Address - Fax:541-210-5310
Is Sole Proprietor?:No
Enumeration Date:2021-10-21
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor