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

Ethan Thompson

Individual provider Mental Health Counselor · NPI 1346005279

Ethan Thompson is a Mental Health Counselor in Roseburg, Oregon. Licensed in Oregon. Registered with an NPI since 2024.

Licensed in
OR
In the registry since
2024
Specialties on file
3

Practice location Address checks out

621 W Madrone St
Roseburg, OR 97470-3090
Phone: (541) 672-2691
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (OR)
Mental Health Counselor Taxonomy 101YM0800X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1346005279
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 20, 2024
Last updated in NPPESFebruary 20, 2024
Certification dateFebruary 20, 2024
Mailing addressPo Box 1121, Roseburg, OR 97470-0254

Other providers in Roseburg