Individual
JEFFREY BELLAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6409 E MILL PLAIN BLVD, VANCOUVER, WA 98661-7454
(360) 718-8376
Mailing address
1600 E ST UNIT B228, VANCOUVER, WA 98663-3539
(360) 798-1247
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61553283
WA
Other
Enumeration date
04/16/2025
Last updated
06/24/2025
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