Provider Demographics
NPI:1144523796
Name:SCHRYER, JANE EILEEN (MSW,CADC 111)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:EILEEN
Last Name:SCHRYER
Suffix:
Gender:F
Credentials:MSW,CADC 111
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 746
Mailing Address - Street 2:
Mailing Address - City:GOLD BEACH
Mailing Address - State:OR
Mailing Address - Zip Code:97444-0746
Mailing Address - Country:US
Mailing Address - Phone:541-247-4082
Mailing Address - Fax:541-412-1310
Practice Address - Street 1:29821 COLVIN ST
Practice Address - Street 2:
Practice Address - City:GOLD BEACH
Practice Address - State:OR
Practice Address - Zip Code:97444-0746
Practice Address - Country:US
Practice Address - Phone:541-247-4082
Practice Address - Fax:541-412-1310
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-20
Last Update Date:2010-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)