Organization
BLUE MOUNTAIN ASSOCIATES, LLC
Active
Organization
BLUE MOUNTAIN ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGGEN M BROGOITTI (OFFICE MANAGER)
(541) 962-0162
Entity
Organization
Contact information
Practice address
1101 I AVE, LA GRANDE, OR 97850
(541) 962-0162
(541) 962-0119
Mailing address
PO BOX 1005, LA GRANDE, OR 97850
(541) 962-0162
(541) 962-0119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
04/25/2007
Last updated
06/05/2018
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