Provider Demographics
NPI:1417765389
Name:FURNEY, SEAN JEREMY
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:JEREMY
Last Name:FURNEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:680 TYLER ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-4530
Mailing Address - Country:US
Mailing Address - Phone:458-209-4564
Mailing Address - Fax:
Practice Address - Street 1:680 TYLER ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402-4530
Practice Address - Country:US
Practice Address - Phone:458-209-4564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-24
Last Update Date:2024-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator