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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1184012379

John Deroin is an Addiction (Substance Use Disorder) Counselor in Coburg, Oregon. Works from 3 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2014
Specialties on file
3
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Practice location Address checks out

1 Serenity Ln
Coburg, OR 97408-9350
Phone: (541) 687-1110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2411 Martin Luther King Jr Blvd, Eugene, OR 97401-5824 — (541) 682-3608
  • 151 W 7th Ave, Eugene, OR 97401-1100 — (541) 682-4464

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 22-QMHP-R-1561 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 06-03-62 (OR)

Record details

NPI number1184012379
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 23, 2014
Last updated in NPPESJune 27, 2024
Certification dateJune 27, 2024
Mailing address1 Serenity Ln, Coburg, OR 97408-9350

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