JEREMY MCALLISTER MA NPI 1063719417

NPI Information

NPI: 1063719417
Provider Name: JEREMY MCALLISTER, MA
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
4838 NE SANDY BLVD
SUITE 210
PORTLAND, OR
ZIP 97213
Phone: (503) 284-6754
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Jeremy Mcallister, MA is a professional counselor in Portland, OR. Jeremy Mcallister, MA NPI is 1063719417. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4838 NE SANDY BLVD
SUITE 210
PORTLAND, OR
ZIP 97213-091
Phone: (503) 284-6754
Fax: (503) 284-6754

The enumeration date for this NPI number is 2/22/2011 and was last updated on 10/1/2015.

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	101YP2500X	Counselor	Professional	C3882	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	13612353	OTHER		CAQH

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: 11/14/2023

NPI Synchronization or Removal

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