Provider Demographics
NPI:1508984949
Name:SCHWECHTEN, JOHN CASTIELLO (MA, MS)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:CASTIELLO
Last Name:SCHWECHTEN
Suffix:
Gender:M
Credentials:MA, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3130 NW CRAFTSMAN DR
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-8337
Mailing Address - Country:US
Mailing Address - Phone:541-383-2646
Mailing Address - Fax:
Practice Address - Street 1:754 NW BROADWAY ST
Practice Address - Street 2:SUITE 200
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-2776
Practice Address - Country:US
Practice Address - Phone:541-383-2646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC1686101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional