Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor |
NPI | 1003059742 |
---|---|
Provider Name | Donald Lee Schaefer |
First Address | Newport, OR 97365-3821 |
Second Address | Newport, OR 97365-3823 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2009 |
Last Update Date | 13/01/2021 |