Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ernst Udey Shadbolt, CADCI

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1639536691

Ernst Udey Shadbolt, CADCI is an Addiction (Substance Use Disorder) Counselor in Roseburg, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2016

Practice location Address checks out

2064 SE Douglas Ave
Roseburg, OR 97470-3713
Phone: (541) 673-5119
Fax: (541) 957-3734
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 08-03-32 (OR)

Record details

NPI number1639536691
Entity typeIndividual (Type 1)
GenderMale
Credentials CADCI
Sole proprietorYes
NPI enumeratedJanuary 21, 2016
Last updated in NPPESJanuary 21, 2016

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