1972390342 NPI number — MRS. CHRISTINE JANENE DUCHATEAU BA, MA PSYCH

Table of content: DR. SIGRID E SCHWARTZ D.D.S., M.S.D. (NPI 1962413351)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972390342 NPI number — MRS. CHRISTINE JANENE DUCHATEAU BA, MA PSYCH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DUCHATEAU
Provider First Name:
CHRISTINE
Provider Middle Name:
JANENE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
BA, MA PSYCH
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
VANDERLINDEN
Provider Other First Name:
CHRISTINE
Provider Other Middle Name:
JANENE
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
N/A
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1972390342
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/21/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8832 40 AVENUE NW
Provider Second Line Business Mailing Address:
5800 SE JERRY DR. PRINEVILLE, OREGON 97754 UNITED STATE
Provider Business Mailing Address City Name:
EDMONTON
Provider Business Mailing Address State Name:
AB
Provider Business Mailing Address Postal Code:
T6K 1G5
Provider Business Mailing Address Country Code:
CA
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
128 W ANTLER AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
REDMOND
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97756-1852
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-255-1192
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/21/2025

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  C5089 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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