COW CREEK HEALTH & WELLNESS CTR
NPI 1205104718
Counselor - Addiction (Substance Use Disorder) in Roseburg, OR

Active since December 12, 2011
2371 NE STEPHENS ST STE 200, ROSEBURG, OR 97470(541) 672-8533(541) 672-4993 Get Directions Write a Review

NPPES record last updated: December 12, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cow Creek Health & Wellness Ctr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COW CREEK HEALTH & WELLNESS CTR (NPI 1205104718), doing business as Cow Creek Band Of Umpqua Tribe Of Indians, is a healthcare organization registered as an addiction (substance use disorder) in Roseburg, Oregon and active in the NPI registry since December 2011. The organization lists Michael J Rondeau, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205104718
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameCOW CREEK HEALTH & WELLNESS CTR
Location Address2371 NE STEPHENS ST STE 200Roseburg, OR 97470-1399
Mailing Address2371 Ne Stephens St Ste 200Roseburg, OR 97470-1399 · (541) 672-8533 · Fax (541) 672-4993
Fax(541) 672-4993
Organization SubpartNo
Authorized OfficialMichael J RondeauCeo · (541) 672-9405
Enumeration DateDecember 12, 2011
NPI 1205104718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in OR · 10-09-68U
2371 NE STEPHENS ST STE 200, Roseburg, OR 97470

Other Names 1

Former Legal Business NameCow Creek Band Of Umpqua Tribe Of Indians

Other Identifiers 1

Medicaid165772OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
2371 NE STEPHENS ST STE 200
ROSEBURG, OR 97470
Dietitian, Registered
2371 NE STEPHENS ST STE 200
ROSEBURG, OR 97470
Counselor (Addiction (Substance Use Disorder))
2371 NE STEPHENS ST STE 200
ROSEBURG, OR 97470
Assistant Behavior Analyst
2371 NE STEPHENS ST STE 200
ROSEBURG, OR 97470

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cow Creek Health & Wellness Ctr's NPI number?

The NPI number for Cow Creek Health & Wellness Ctr is 1205104718. It was assigned to this organization in the NPPES registry on December 12, 2011. The provider was formerly known as Cow Creek Band Of Umpqua Tribe Of Indians.

Where is Cow Creek Health & Wellness Ctr located?

Cow Creek Health & Wellness Ctr is located at 2371 NE Stephens St Ste 200, Roseburg, OR 97470. The listed phone number is (541) 672-8533.

What is Cow Creek Health & Wellness Ctr's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Cow Creek Health & Wellness Ctr was last updated on December 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.