Provider Demographics
NPI:1477827749
Name:SCHILLING, JONATHON MERCURY
Entity Type:Individual
Prefix:MR
First Name:JONATHON
Middle Name:MERCURY
Last Name:SCHILLING
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 1:941 W 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-4634
Mailing Address - Country:US
Mailing Address - Phone:541-686-4310
Mailing Address - Fax:
Practice Address - Street 1:941 W 7TH AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402-4634
Practice Address - Country:US
Practice Address - Phone:541-686-4310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-02
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker