Provider Demographics
NPI:1295141463
Name:SCHWINN, DEBRA MARIE (QMHP)
Entity type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:MARIE
Last Name:SCHWINN
Suffix:
Gender:F
Credentials:QMHP
Other - Prefix:MISS
Other - First Name:DEBRA
Other - Middle Name:MARIE
Other - Last Name:LOWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 269
Mailing Address - Street 2:104 S.W. KINKADE RD.
Mailing Address - City:BOARDMAN
Mailing Address - State:OR
Mailing Address - Zip Code:97818
Mailing Address - Country:US
Mailing Address - Phone:541-481-2911
Mailing Address - Fax:541-481-2006
Practice Address - Street 1:120 S. MAIN ST.
Practice Address - Street 2:
Practice Address - City:HEPPNER
Practice Address - State:OR
Practice Address - Zip Code:97836
Practice Address - Country:US
Practice Address - Phone:541-676-9161
Practice Address - Fax:541-676-5662
Is Sole Proprietor?:No
Enumeration Date:2014-07-08
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health