Provider Demographics
NPI:1801918875
Name:SCHUR, PETER BARTON (PHD)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:BARTON
Last Name:SCHUR
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46725 GOODPASTURE RD
Mailing Address - Street 2:
Mailing Address - City:VIDA
Mailing Address - State:OR
Mailing Address - Zip Code:97488-9725
Mailing Address - Country:US
Mailing Address - Phone:541-896-3135
Mailing Address - Fax:
Practice Address - Street 1:3321 W 11TH AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402-3040
Practice Address - Country:US
Practice Address - Phone:541-335-2826
Practice Address - Fax:541-685-1919
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1294103T00000X
AZ1403103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist