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ERNST UDEY SHADBOLT CADC I
NPI 1639536691
Counselor - Addiction (Substance Use Disorder) in Roseburg, OR

Active since January 21, 2016
2064 SE DOUGLAS AVE, ROSEBURG, OR 97470(541) 673-5119(541) 957-3734 Get Directions Write a Review

NPPES record last updated: January 21, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ernst Udey Shadbolt Cadc I NPPES

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

ERNST UDEY SHADBOLT CADC I (NPI 1639536691) is an individual addiction (substance use disorder) provider in Roseburg, Oregon, licensed in Oregon (08-03-32) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1639536691
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameERNST UDEY SHADBOLTCredential: CADC I
Location Address2064 SE DOUGLAS AVERoseburg, OR 97470-3713
Mailing AddressPo Box 1121Roseburg, OR 97470-0254 · (541) 673-5119 · Fax (541) 957-3734
Phone(541) 673-5119
Fax(541) 957-3734
Sole ProprietorYes
Enumeration DateJanuary 21, 2016
✔ NPI 1639536691 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 · 08-03-32
2064 SE DOUGLAS AVE, Roseburg, OR 97470
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Other Providers at the Same Location NPPES 6

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

MARY PATRICIA POPE-SCHAEDLER CADC I
Counselor (Addiction (Substance Use Disorder))
2064 SE DOUGLAS AVE
ROSEBURG, OR 97470
Douglas County (541) 673-5119
DAWN LINNE LCSW
Social Worker (Clinical)
2064 SE DOUGLAS AVE
ROSEBURG, OR 97470
Douglas County (541) 673-5119
CYNDI BIRCH
Counselor (Addiction (Substance Use Disorder))
2064 SE DOUGLAS AVE
ROSEBURG, OR 97470
Douglas County (541) 673-3469
RONALD FARLEY
Counselor (Addiction (Substance Use Disorder))
2064 SE DOUGLAS AVE
ROSEBURG, OR 97470
Douglas County (541) 673-5119
ADAPT
Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)
2064 SE DOUGLAS AVE
ROSEBURG, OR 97470
Douglas County (541) 673-5119
KIMBERLY SEWELL
Counselor (Addiction (Substance Use Disorder))
2064 SE DOUGLAS AVE
ROSEBURG, OR 97470
Douglas County (541) 673-5119

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 Ernst Shadbolt's NPI number?

The NPI number for Ernst Shadbolt is 1639536691. It was assigned to this individual provider in the NPPES registry on January 21, 2016.

Where is Ernst Shadbolt located?

Ernst Shadbolt practices at 2064 SE Douglas Ave, Roseburg, OR 97470. The listed phone number is (541) 673-5119.

What is Ernst Shadbolt'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 Ernst Shadbolt was last updated on January 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.