Stotler, Deborah Karin
Stotler, Deborah Karin is an individual health care provider with primary practice located at 2145 Centennial Plz , Eugene OR 97401-2474. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Stotler, Deborah Karin can be contacted via phone (541) 485-6340.Contact Information
Primary practice address
2145 Centennial Plz
Eugene OR 97401-2474
Phone: (541) 485-6340
Fax: (541) 984-3124
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | T0381 | Oregon |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | T0381 | Oregon |
Profile Details
| NPI number | 1972656346 |
|---|---|
| LBN Legal business name | Stotler, Deborah Karin |
| Credentials | MA, LMFT, CADC III |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2007 |
| Last updated | May 15th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972656346 | NPPES |
| Oregon | MEDICAID | 500693219 | |
| Oregon | MEDICAID | 05071954 | |
| Oregon | MEDICAID | 1972656346 |
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