Provider Demographics
NPI:1902961790
Name:OSBORNE, DEBRA L (CADCI)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:L
Last Name:OSBORNE
Suffix:
Gender:F
Credentials:CADCI
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:
Other - Last Name:ARNOLD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:311 ADAMS AVE
Mailing Address - Street 2:
Mailing Address - City:SILVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97381-2303
Mailing Address - Country:US
Mailing Address - Phone:971-218-7170
Mailing Address - Fax:503-361-2688
Practice Address - Street 1:3180 CENTER ST NE
Practice Address - Street 2:DRUG TREATMENT
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-4532
Practice Address - Country:US
Practice Address - Phone:503-588-5358
Practice Address - Fax:503-361-2688
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
OR171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered171M00000XOther Service ProvidersCase Manager/Care Coordinator