Organization
CHEHALEM YOUTH & FAMILY SERVICES
Active
Organization
CHEHALEM YOUTH & FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH CATHERS-SEYMOUR (EXECUTIVE DIRECTOR)
(503) 538-4874
Entity
Organization
Contact information
Practice address
504 VILLA RD STE 3, NEWBERG, OR 97132-1851
(503) 538-4874
(503) 538-1271
Mailing address
504 VILLA RD STE 3, NEWBERG, OR 97132-1851
(503) 538-4874
(503) 538-1271
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2193
OR
103G00000X
Clinical Neuropsychologist
Primary
2193
OR
103TF0000X
Family Psychologist
2193
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
201507040NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230442
DMAP PROVIDER
OR
Enumeration date
01/08/2007
Last updated
07/21/2022
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