Provider Demographics
NPI:1578554671
Name:VON SCHLUMPERGER, BIRGITTA (PHD)
Entity Type:Individual
Prefix:DR
First Name:BIRGITTA
Middle Name:
Last Name:VON SCHLUMPERGER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 106
Mailing Address - Street 2:
Mailing Address - City:WHEELER
Mailing Address - State:OR
Mailing Address - Zip Code:97147-0106
Mailing Address - Country:US
Mailing Address - Phone:503-317-7160
Mailing Address - Fax:
Practice Address - Street 1:34715 BAYLOOP RD
Practice Address - Street 2:
Practice Address - City:NEHALEM
Practice Address - State:OR
Practice Address - Zip Code:97131-9582
Practice Address - Country:US
Practice Address - Phone:503-317-7160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-31
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR736103TC1900X, 103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling