Healthcare Provider Details

I. General information

NPI: 1972390342
Provider Name (Legal Business Name): CHRISTINE JANENE DUCHATEAU BA, MA PSYCH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISTINE JANENE VANDERLINDEN N/A

II. Dates (important events)

Enumeration Date: 04/21/2025
Last Update Date: 04/21/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 W ANTLER AVE
REDMOND OR
97756-1852
US

IV. Provider business mailing address

8832 40 AVENUE NW 5800 SE JERRY DR. PRINEVILLE, OREGON 97754 UNITED STATE
EDMONTON AB
T6K 1G5
CA

V. Phone/Fax

Practice location:
  • Phone: 541-255-1192
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC5089
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: