Provider Demographics
NPI:1457831802
Name:TAYLOR, DEBORAH (MCOUN)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MCOUN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1195 NW WALL ST
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97703-1965
Mailing Address - Country:US
Mailing Address - Phone:541-728-0062
Mailing Address - Fax:541-306-6733
Practice Address - Street 1:1195 NW WALL ST
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97703-1965
Practice Address - Country:US
Practice Address - Phone:541-728-0062
Practice Address - Fax:541-306-6733
Is Sole Proprietor?:No
Enumeration Date:2018-08-15
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health