Provider Demographics
NPI:1902416167
Name:SCHUMACHER, NICHOLE RAIN (LFMT-INTERN)
Entity Type:Individual
Prefix:
First Name:NICHOLE
Middle Name:RAIN
Last Name:SCHUMACHER
Suffix:
Gender:F
Credentials:LFMT-INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2998 FENYA ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97477-7945
Mailing Address - Country:US
Mailing Address - Phone:307-680-9625
Mailing Address - Fax:
Practice Address - Street 1:900 ROBIN HOOD AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-7800
Practice Address - Country:US
Practice Address - Phone:541-979-5433
Practice Address - Fax:541-972-8901
Is Sole Proprietor?:No
Enumeration Date:2020-08-03
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
ORR6522101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health