DERWIN DECKER CADC 1 - NPI 1619208337 - Counselor in Klamath Falls, OR

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

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About Derwin Decker Cadc 1 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERWIN DECKER CADC 1 (NPI 1619208337) is an individual addiction (substance use disorder) provider in Klamath Falls, Oregon, licensed in Oregon (95-04-35) and active in the NPI registry since January 2010.

NPPES Registry Identity

NPI1619208337

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameDERWIN DECKERCredential: CADC 1

Location Address3949 SOUTH 6TH STREETKlamath Falls, OR 97603-4746

Mailing Address3949 South 6th StreetKlamath Falls, OR 97603-4746 · (541) 882-1487 · Fax (541) 882-1670

Phone(541) 882-1487

Fax(541) 882-1670

Sole ProprietorNo

Enumeration DateJanuary 20, 2010

✔ NPI 1619208337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in OR · 95-04-35

3949 SOUTH 6TH STREET, Klamath Falls, OR 97603

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Other Identifiers 1

Medicaid129861OR

Frequently Asked Questions

What is Derwin Decker's NPI number?

The NPI number assigned to this healthcare provider is 1619208337, enumerated as an "individual" on January 20, 2010.

Where is the provider located?

The provider is located at 3949 SOUTH 6TH STREET KLAMATH FALLS, OR 97603 and the phone number is (541) 882-1487.

What is the provider's specialty?

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

What insurance does Derwin Decker accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.