Individual
JAMIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
1051 MADAS HIGHWAY, PRINEVILLE, OR 97754-9775
(541) 323-5330
Mailing address
PO BOX 1710, REDMOND, OR 97756-0516
(541) 516-4087
(541) 504-1195
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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