Provider Demographics
NPI:1073654596
Name:OSSINGER, MEGAN THERESA (BA)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:THERESA
Last Name:OSSINGER
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 NE COURT ST
Mailing Address - Street 2:
Mailing Address - City:PRINEVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97754-1935
Mailing Address - Country:US
Mailing Address - Phone:541-749-0992
Mailing Address - Fax:541-330-4613
Practice Address - Street 1:203 NE COURT ST
Practice Address - Street 2:
Practice Address - City:PRINEVILLE
Practice Address - State:OR
Practice Address - Zip Code:97754-1935
Practice Address - Country:US
Practice Address - Phone:541-749-0992
Practice Address - Fax:541-330-4613
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker