Provider Demographics
NPI:1821426560
Name:TOWNER, DEBORAH PAYNE (LCSW)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:PAYNE
Last Name:TOWNER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 OFFICERS ROW STE A
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98661-3847
Mailing Address - Country:US
Mailing Address - Phone:503-724-1042
Mailing Address - Fax:
Practice Address - Street 1:800 OFFICERS ROW STE A
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98661-3847
Practice Address - Country:US
Practice Address - Phone:503-724-1042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-16
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL50361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORL5036OtherSELF