Provider Demographics
NPI:1063901866
Name:PATZER, SHERYL M (BS, CADCII)
Entity type:Individual
Prefix:
First Name:SHERYL
Middle Name:M
Last Name:PATZER
Suffix:
Gender:F
Credentials:BS, CADCII
Other - Prefix:
Other - First Name:SHERI
Other - Middle Name:M
Other - Last Name:CREW
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BS, CADCII
Mailing Address - Street 1:332 SW COAST HWY
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:OR
Mailing Address - Zip Code:97365-4928
Mailing Address - Country:US
Mailing Address - Phone:541-961-1563
Mailing Address - Fax:541-574-9052
Practice Address - Street 1:332 SW COAST HWY
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:OR
Practice Address - Zip Code:97365-4928
Practice Address - Country:US
Practice Address - Phone:541-961-1563
Practice Address - Fax:541-574-9052
Is Sole Proprietor?:No
Enumeration Date:2018-05-07
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR16-07-06U101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)