JILL R BIRD QMHA PSS PWS THW NPI 1043772411

NPI Information

NPI: 1043772411
Provider Name: JILL R BIRD, QMHA, PSS, PWS, THW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1605 E LINCOLN RD
WOODBURN, OR
ZIP 97071
Phone: (503) 982-9300
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Jill R Bird, QMHA, PSS, PWS, THW is a mental health counselor in Woodburn, OR. Jill R Bird, QMHA, PSS, PWS, THW NPI is 1043772411. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1605 E LINCOLN RD
WOODBURN, OR
ZIP 97071-137
Phone: (503) 982-9300
Fax: (503) 982-9308

The enumeration date for this NPI number is 4/3/2019 and was last updated on 3/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	175T00000X	Peer Specialist		THW3372	OREGON	No
2	101YM0800X	Counselor	Mental Health	23-QMHA-R-3419	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	THW000003372	OTHER	OREGON	OREGON HEALTH AUTHORITY
2	23-QMHA-R-3419	OTHER	OREGON	MENTAL HEALTH AND ADDICTION CERTIFICATION BOARD OF OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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