Provider Demographics
NPI:1801946082
Name:BISCHOF, DEBRA R (LPC)
Entity type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:R
Last Name:BISCHOF
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:DEBRA
Other - Middle Name:R
Other - Last Name:SIMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFT
Mailing Address - Street 1:PO BOX 568
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:OR
Mailing Address - Zip Code:97113-0568
Mailing Address - Country:US
Mailing Address - Phone:503-352-8657
Mailing Address - Fax:503-352-8658
Practice Address - Street 1:22300 SW BOONES FERRY RD
Practice Address - Street 2:
Practice Address - City:TUALATIN
Practice Address - State:OR
Practice Address - Zip Code:97062-7373
Practice Address - Country:US
Practice Address - Phone:503-431-5975
Practice Address - Fax:503-431-5976
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC3833101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health