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ETHAN THOMPSON
NPI 1346005279
Peer Specialist in Roseburg, OR

Active since February 20, 2024
621 W MADRONE ST, ROSEBURG, OR 97470(541) 672-2691 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethan Thompson NPPES

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

ETHAN THOMPSON (NPI 1346005279) is an individual peer specialist in Roseburg, Oregon and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1346005279
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameETHAN THOMPSON
Location Address621 W MADRONE STRoseburg, OR 97470-3090
Mailing AddressPo Box 1121Roseburg, OR 97470-0254 · (541) 672-2691
Phone(541) 672-2691
Sole ProprietorNo
Enumeration DateFebruary 20, 2024
NPPES CertifiedFebruary 20, 2024
✔ NPI 1346005279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
621 W MADRONE ST, Roseburg, OR 97470
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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.

WILLIAM F SHOBE JR. LMFT
Marriage & Family Therapist
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 492-4550
HEATHER IRENE JOHNSON MSW
Social Worker
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
URIAH HEATH YRAGUEN
Peer Specialist
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 672-2691
MR. DALE EDWARD WILLIAMS MC, LPC
Counselor (Mental Health)
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
EMILY TUCKER LPC NCC
Counselor (Professional)
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 672-2691
INGER C BOYD MA ED., BS
Counselor
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
MAE L HOOPES
Counselor (Addiction (Substance Use Disorder))
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 672-2691
JENNIFER DIANE LOWRY
Counselor (Mental Health)
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532

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 Ethan Thompson's NPI number?

The NPI number for Ethan Thompson is 1346005279. It was assigned to this individual provider in the NPPES registry on February 20, 2024.

Where is Ethan Thompson located?

Ethan Thompson practices at 621 W Madrone St, Roseburg, OR 97470. The listed phone number is (541) 672-2691.

What is Ethan Thompson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Ethan Thompson was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.