Provider Demographics
NPI:1740314434
Name:SLIWINSKI, YAQIN JAMES (QMHA)
Entity type:Individual
Prefix:MR
First Name:YAQIN
Middle Name:JAMES
Last Name:SLIWINSKI
Suffix:
Gender:M
Credentials:QMHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1472 MCKINLEY ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-3341
Mailing Address - Country:US
Mailing Address - Phone:541-684-0421
Mailing Address - Fax:
Practice Address - Street 1:SHELTERCARE
Practice Address - Street 2:1790 WEST 11TH AVENUE
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402
Practice Address - Country:US
Practice Address - Phone:541-686-1262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health