DERWIN DECKER


Address: 3949 South 6th Street, Klamath Falls, OR 97603-4746
Phone: 5418821487

DERWIN DECKER (NPI# 1619208337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619208337
Entity Type Individual
Full Name DERWIN DECKER
Credential CADC 1
Practice Address 3949 South 6th Street
Klamath Falls
OR 97603-4746
Practice Telephone 5418821487
Practice Fax Number 5418821670
Mailing Telephone 5418821487
Mailing Fax Number 5418821670
Enumeration Date 2010-01-20
Last Update Date 2010-01-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
95-04-35 OR Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR 129861 05

Office Location

Street Address 3949 SOUTH 6TH STREET
City KLAMATH FALLS
State OR
Zip Code 97603-4746

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790323699 Mike Hampson Counselor 3203 Vandenberg Road, Klamath Falls, OR 97603 2019-12-11
1356858369 Scott Richardson Community Based Residential Treatment Facility, Mental Illness 3934 Rio Vista Way, Klamath Falls, OR 97603 2017-12-29
1720518392 Maile Kalus Counselor 3647 Or-39, Klamath Falls, OR 97603 2017-06-15
1174067201 Amber Wu Audiologist 4036 S 6th St Ste 3, Klamath Falls, OR 97603 2016-12-08
1568870681 Nathan William Bailey Dentist 2301 Mountain View Blvd, Suite D, Klamath Falls, OR 97603 2014-08-01
1376987784 Janice Marie Heiney Denturist 2607 Crosby Ave, Klamath Falls, OR 97603 2013-04-29
1083958011 John W Cooper Denturist 3949 Shasta Way, Klamath Falls, OR 97603 2012-11-15
1205137742 Robert Knight Community Health Worker 3314 Vandenburg Rd., Klamath Falls, OR 97603 2010-11-16
1841526431 Tim R Jones Counselor 3949 South 6th St, Klamath Falls, OR 97603 2009-11-02
1316135833 Ernest Thompson O'neal Emergency Medicine 211 Arnold Ave. Ste 15, Klamath Falls, OR 97603 2007-10-10
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013522663 Red Is The Road To Wellness (rrw) Counselor 3206 Onyx Ave, Klamath Falls, OR 97603-7279 2020-09-10
1790323699 Mike Hampson Counselor 3203 Vandenberg Road, Klamath Falls, OR 97603 2019-12-11
1720518392 Maile Kalus Counselor 3647 Or-39, Klamath Falls, OR 97603 2017-06-15
1588115364 James Leroy Yahne Counselor 5728 S 6th St Ste C, Klamath Falls, OR 97603-5108 2016-10-17
1598160814 Christopher S. Turner Counselor 635 Main St., Klamath Falls, OR 97601 2014-10-29
1316238322 Joni L. Townsend Counselor 121 Iowa St, Klamath Falls, OR 97601 2011-04-25
1982901120 Sonja Ann Wilder Counselor 3647 Highway 39, Klamath Falls, OR 97603-2612 2011-02-24
1154633378 Lisa Duvall-baker Counselor 2555 Main St, Klamath Falls, OR 97601-2723 2010-07-02
1538496518 Inside Out Counseling Sservice Counselor 1421 Esplanade Ave, #7, Klamath Falls, OR 97601-5956 2009-11-11
1316274962 Dennis Sigo Counselor 3949 South 6th St., Klamath Falls, OR 97603-4746 2009-11-03
Find all providers in KLAMATH FALLS

Competitor

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City KLAMATH FALLS
Zip Code 97603

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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