Provider Demographics
NPI:1568296192
Name:SCHUMANN, NICHOLE M (MS)
Entity type:Individual
Prefix:
First Name:NICHOLE
Middle Name:M
Last Name:SCHUMANN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:NICHOLE
Other - Middle Name:
Other - Last Name:SATTERWHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:2428 RANCH DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97477-1775
Mailing Address - Country:US
Mailing Address - Phone:541-632-2624
Mailing Address - Fax:
Practice Address - Street 1:299 E 18TH AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-4108
Practice Address - Country:US
Practice Address - Phone:541-632-2624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health