MRS. JONNIE MCRAE VANDERZANDEN LPC NPI 1437133584

NPI Information

  • NPI: 1437133584
  • Provider Name: MRS. JONNIE MCRAE VANDERZANDEN, LPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 10490 SW EASTRIDGE ST
    #110C
    PORTLAND, OR
    ZIP 97225
  • Phone: (503) 292-2780

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NPI Details

MRS. Jonnie Mcrae Vanderzanden, LPC is a mental health counselor in Portland, OR. MRS. Jonnie Mcrae Vanderzanden, LPC NPI is 1437133584. 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:

10490 SW EASTRIDGE ST
#110C
PORTLAND, OR
ZIP 97225-030
Phone: (503) 292-2780
Fax: (503) 292-2721

The enumeration date for this NPI number is 12/2/2005 and was last updated on 7/8/2007.

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
1101YM0800XCounselorMental HealthC1017OREGONYes

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: 3/30/2025

NPI Synchronization or Removal

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