Individual
MRS. JAY VANDENBOGAARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., NCC, CADC III
Contact information
Practice address
2225 PACIFIC BOULEVARD SE, SUITE 207, ALBANY, OR 97321
(541) 704-0762
Mailing address
2225 PACIFIC BOULEVARD SE, SUITE 207, ALBANY, OR 97321
(541) 704-0762
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
R1427
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
07-12-61
OR
101YM0800X
Mental Health Counselor
R1427
OR
101YP2500X
Professional Counselor
R1427
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
064
STATE OF OREGON ADDICTION&MENTAL HEALTH PROVIDER NUMBER
OR
Enumeration date
09/08/2010
Last updated
09/08/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us