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

Table of content: MRS. CHRISTINE JANENE DUCHATEAU BA, MA PSYCH (NPI 1972390342)

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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