UMPQUA COUNSELING PC NPI 1346354446

NPI Information

  • NPI: 1346354446
  • Provider Name: UMPQUA COUNSELING PC
  • Classification: Clinical Nurse Specialist - 364SP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Doing Business As: UMPQUA COUNSELING
  • Address: 770 SE KANE ST
    ROSEBURG, OR
    ZIP 97470
  • Phone: (541) 673-0057

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NPI Details

UMPQUA COUNSELING PC is a psychiatric/mental health clinical nurse specialist in Roseburg, OR. UMPQUA COUNSELING PC NPI is 1346354446. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Umpqua Counseling.

The provider's business location address is:

770 SE KANE ST
ROSEBURG, OR
ZIP 97470-943
Phone: (541) 673-0057
Fax: (541) 673-2270

The provider's authorized official is Ken Serkownek .
The authorized official title is Owner and has the following contact phone number (541) 673-0057.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 8/23/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalOREGONNo
21041C0700XSocial WorkerClinicalOREGONNo
3364SP0808XClinical Nurse SpecialistPsychiatric/Mental HealthOREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10000WCKHQMEDICARE ID-TYPE UNSPECIFIEDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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