Provider Demographics
NPI:1275934481
Name:SCHUKART, BARBARA
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:SCHUKART
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:BARBARA
Other - Middle Name:A
Other - Last Name:DELANEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:66 CLUB RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-2420
Mailing Address - Country:US
Mailing Address - Phone:541-345-2800
Mailing Address - Fax:
Practice Address - Street 1:66 CLUB RD
Practice Address - Street 2:SUITE 120
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2420
Practice Address - Country:US
Practice Address - Phone:541-345-2800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-07
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC3556101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500688819Medicaid