Provider Demographics
NPI:1295137057
Name:O'DELL, NATALIE ELIZABETH (MS)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:ELIZABETH
Last Name:O'DELL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:ELIZABETH
Other - Last Name:ODELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:DIRECTION SERVICE COUNSELING
Mailing Address - Street 2:P.O. BOX 51360
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405
Mailing Address - Country:US
Mailing Address - Phone:541-344-7303
Mailing Address - Fax:541-686-6283
Practice Address - Street 1:576 OLIVE ST STE 307
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2995
Practice Address - Country:US
Practice Address - Phone:541-344-7303
Practice Address - Fax:541-686-6283
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-23
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR301100Medicaid
OR3333Medicare PIN