Provider Demographics
NPI:1164518833
Name:SCHWEITZER, DONALD
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:
Last Name:SCHWEITZER
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 1:4017 ORCHARD HEIGHTS RD NW
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97304-1530
Mailing Address - Country:US
Mailing Address - Phone:503-581-8073
Mailing Address - Fax:
Practice Address - Street 1:1143 LIBERTY ST NE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-1047
Practice Address - Country:US
Practice Address - Phone:503-588-5825
Practice Address - Fax:503-361-0383
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker