Provider Demographics
NPI:1467591529
Name:SCHWARTZ, ZAK F (PHD PSYCHOLOGIST)
Entity Type:Individual
Prefix:DR
First Name:ZAK
Middle Name:F
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:PHD PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:843 SUNDANCE ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-2084
Mailing Address - Country:US
Mailing Address - Phone:541-242-3820
Mailing Address - Fax:
Practice Address - Street 1:1400 HIGH ST
Practice Address - Street 2:STE. C-1
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-4192
Practice Address - Country:US
Practice Address - Phone:541-484-4971
Practice Address - Fax:541-484-1071
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR0670103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR0000TCHZZMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER