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Active NPI 1184142283 Organization (Entity Type 2)

Jami L Stephens

Counselor - Mental Health • Gresham, OR

About Jami L Stephens NPI 1184142283 Summary

Jami L Stephens is a verified healthcare organization specializing in Counselor - Mental Health operating in Gresham, OR. Located at 406 NE 4TH ST STE 110, this facility provides patient care and medical services under National Provider Identifier (NPI) 1184142283.

Administrative operations and authorized compliance are overseen by Jami Stephens (Owner).

Facility Location & Contact Primary Location

Facility Address

406 Ne 4th St Ste 110

Gresham, OR 970307496

Telephone 5035160573
Fax 5036749740

Authorized Official Information

Authorized Contact Name

Jami Stephens , MA, CT, LPC

Title / Role

Owner

Official Telephone

5035160573

Facility Classifications & Specialties

Counselor - Mental Health Primary Taxonomy

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active September 08, 2017

NPI status registered as active in NPPES database

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Updated Practice Location September 08, 2017

Registered at 406 NE 4TH ST STE 110, GRESHAM, OR 970307496 (Tel: (503) 516-0573)

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Updated Business Mailing Address September 08, 2017

Registered at 406 NE 4TH ST STE 110, GRESHAM, OR 970307496 (Tel: 5035160573)

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Organization / Clinic Name Updated September 08, 2017

Operating as JAMI L STEPHENS

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2017

Counselor (License #C2676 in OR)

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Initial NPI Registration & Enumeration September 08, 2017

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1184142283
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: September 08, 2017
Last Update: July 21, 2022

Mailing Address

406 Ne 4th St Ste 110

Gresham, OR 970307496

Phone: 5035160573

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.