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MR. VERNON ROSE JR. CADC II
NPI 1356872477
Counselor - Addiction (Substance Use Disorder) in Eugene, OR

Active since March 21, 2017
4211 W 11TH AVE, EUGENE, OR 97402(541) 485-1577(541) 242-2853 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 29, 2020, Sep 29, 2020, Aug 28, 2017 and 1 more (4 updates tracked since 2017).

About Mr. Vernon Rose Jr. Cadc Ii NPPES

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

MR. VERNON ROSE JR. CADC II (NPI 1356872477) is an individual addiction (substance use disorder) provider in Eugene, Oregon, licensed in Oregon (07-09-64) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1356872477
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. VERNON ROSE JR.Credential: CADC II
Location Address4211 W 11TH AVEEugene, OR 97402-5435
Mailing Address4211 W 11th AveEugene, OR 97402-5435 · (541) 485-1577 · Fax (541) 242-2853
Phone(541) 485-1577
Fax(541) 242-2853
Sole ProprietorNo
Enumeration DateMarch 21, 2017
Last NPPES UpdateOctober 29, 20204 updates tracked since enumeration
NPPES CertifiedOctober 29, 2020
✔ NPI 1356872477 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 · 07-09-64
4211 W 11TH AVE, Eugene, OR 97402
Open in Google Maps ↗

Other Identifiers 2

Other07-09-64OR · Certified Alcohol And Drug Counselor Level Ii
Medicaid500730386OR

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.

KIMBERLY ANN SCHAFER B.A., CADCII, QMHA
Counselor (Addiction (Substance Use Disorder))
4211 W 11TH AVE
EUGENE, OR 97402
Lane County (541) 485-1577
THOMAS BURNS
Counselor (Addiction (Substance Use Disorder))
4211 W 11TH AVE
EUGENE, OR 97402
Lane County (541) 485-1577
ANDREA DAUTERMAN
Counselor (Addiction (Substance Use Disorder))
4211 W 11TH AVE
EUGENE, OR 97402
Lane County (541) 485-1577
KEVIN HIGGINS
Counselor (Addiction (Substance Use Disorder))
4211 W 11TH AVE
EUGENE, OR 97402
Lane County (541) 485-1577
MYRANDA CHANTEL SUMMERS
Counselor (Addiction (Substance Use Disorder))
4211 W 11TH AVE
EUGENE, OR 97402
Lane County (541) 485-1577
AUTUMN STARR RUSSELL CADC II, QMHA I
Counselor (Addiction (Substance Use Disorder))
4211 W 11TH AVE
EUGENE, OR 97402
Lane County (541) 687-1110
GEORGIA MARIE BRONSON CADC II
Counselor (Addiction (Substance Use Disorder))
4211 W 11TH AVE
EUGENE, OR 97402
Lane County (541) 485-1577
MRS. KARRIN MARIE MAYER
Counselor (Addiction (Substance Use Disorder))
4211 W 11TH AVE
EUGENE, OR 97402
Lane County (541) 485-1577

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 Vernon Rose's NPI number?

The NPI number for Vernon Rose is 1356872477. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Where is Vernon Rose located?

Vernon Rose practices at 4211 W 11th Ave, Eugene, OR 97402. The listed phone number is (541) 485-1577.

What is Vernon Rose'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 Vernon Rose was last updated on October 29, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.