Shupe, Douglas Dean

Shupe, Douglas Dean is an individual health care provider with primary practice located at 281 Laclair St , Coos Bay OR 97420-2988. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Shupe, Douglas Dean can be contacted via phone (541) 266-6782.

Contact Information

Primary practice address
281 Laclair St Coos Bay OR 97420-2988
Phone: (541) 266-6782
Fax: (541) 888-8726
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1346556180
LBN Legal business name Shupe, Douglas Dean
Credentials MS, LPC INTERN
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2010
Last updated Apr 30th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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