Provider Demographics
NPI:1841810322
Name:MAY, ARIANA LEE (CBS, THW)
Entity type:Individual
Prefix:
First Name:ARIANA
Middle Name:LEE
Last Name:MAY
Suffix:
Gender:
Credentials:CBS, THW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 OLIVE ST APT 1112
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-3986
Mailing Address - Country:US
Mailing Address - Phone:541-914-7413
Mailing Address - Fax:
Practice Address - Street 1:1270 CHARNELTON ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-3430
Practice Address - Country:US
Practice Address - Phone:541-914-7413
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-24
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORTHW000003786175T00000X, 374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No175T00000XOther Service ProvidersPeer Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500778724Medicaid