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

Tim Black

Individual provider Counselor · NPI 1104382324

Tim Black is a Counselor in Eugene, Oregon. Registered with an NPI since 2019.

In the registry since
2019
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2222 Coburg Rd Ste 100
Eugene, OR 97401-4988
Phone: (458) 210-2984
Fax: (458) 210-2985
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence PROFESSIONALLICENSE

Record details

NPI number1104382324
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 12, 2019
Last updated in NPPESFebruary 8, 2022
Mailing address3587 Heathrow Way, Medford, OR 97504-4004

Other providers in Eugene