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MARY JANE IIDA CADC II
NPI 1275991077
Counselor - Addiction (Substance Use Disorder) in Springfield, OR

Active since February 08, 2016
1651 CENTENNIAL BLVD, SPRINGFIELD, OR 97477(541) 762-4532(541) 762-2467 Get Directions Write a Review

NPPES record last updated: March 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2019, Feb 8, 2016 (2 updates tracked since 2016).

About Mary Jane Iida Cadc Ii NPPES

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

MARY JANE IIDA CADC II (NPI 1275991077) is an individual addiction (substance use disorder) provider in Springfield, Oregon, licensed in Oregon (18-04-15) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1275991077
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMARY JANE IIDACredential: CADC II
Location Address1651 CENTENNIAL BLVDSpringfield, OR 97477-3363
Mailing Address687 Cheshire AveEugene, OR 97402-5060 · (541) 684-4148
Phone(541) 762-4532
Fax(541) 762-2467
Sole ProprietorNo
Enumeration DateFebruary 8, 2016
Last NPPES UpdateMarch 19, 20192 updates tracked since enumeration
✔ NPI 1275991077 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 · 18-04-15
1651 CENTENNIAL BLVD, Springfield, OR 97477
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Other Providers at the Same Location NPPES 20

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

DEAN BORN
Peer Specialist
1651 CENTENNIAL BLVD
SPRINGFIELD, OR 97477
Lane County (541) 762-4525
CASEY A CALLAHAN
Counselor (Addiction (Substance Use Disorder))
1651 CENTENNIAL BLVD
SPRINGFIELD, OR 97477
Lane County (541) 762-4525
MS. MARY JO SANDERS RN, LCSW
Social Worker (Clinical)
1651 CENTENNIAL BLVD
SPRINGFIELD, OR 97477
Lane County (541) 762-4551
WILLIAM MAVER CADC II, QMHA I
Counselor (Addiction (Substance Use Disorder))
1651 CENTENNIAL BLVD
SPRINGFIELD, OR 97477
Lane County (541) 762-4525
NITA VANNICE CADC II
Counselor (Addiction (Substance Use Disorder))
1651 CENTENNIAL BLVD
SPRINGFIELD, OR 97477
Lane County (541) 726-2467
MR. GILBERT GRIFFITH MCEWEN MS, LPC, NCC,
Counselor (Professional)
1651 CENTENNIAL BLVD
SPRINGFIELD, OR 97477
Lane County (541) 763-4557
TESSA DIANE BRAHM
Counselor (Addiction (Substance Use Disorder))
1651 CENTENNIAL BLVD
SPRINGFIELD, OR 97477
Lane County (541) 762-4525
MARTINA DUBELL
Counselor (Addiction (Substance Use Disorder))
1651 CENTENNIAL BLVD
SPRINGFIELD, OR 97477
Lane County (541) 762-4527

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 Mary Iida's NPI number?

The NPI number for Mary Iida is 1275991077. It was assigned to this individual provider in the NPPES registry on February 8, 2016.

Where is Mary Iida located?

Mary Iida practices at 1651 Centennial Blvd, Springfield, OR 97477. The listed phone number is (541) 762-4532.

What is Mary Iida'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 Mary Iida was last updated on March 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.