UMPQUA COUNSELING PC NPI 1346354446

NPI Information

NPI: 1346354446
Provider Name: UMPQUA COUNSELING PC

Doing Business As: UMPQUA COUNSELING

Classification: Clinical Nurse Specialist - 364SP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
770 SE KANE ST
ROSEBURG, OR
ZIP 97470
Phone: (541) 673-0057
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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 State	Primary
1	101YP2500X	Counselor	Professional	OREGON	No
2	1041C0700X	Social Worker	Clinical	OREGON	No
3	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	OREGON	Yes

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
1	0000WCKHQ	MEDICARE ID-TYPE UNSPECIFIED	OREGON

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: 5/5/2024

NPI Synchronization or Removal

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